Plastic Surgery Center Of Lake County

NPI 1073543310 - Clinic/Center - 261QA1903X

NPI Details
NPI 1073543310
Enumeration Date 07/03/2006
Last Updated 06/18/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name VERA D. VERA
Position OFFICE ADMINISTRATOR
Phone (352) 742-0079
Fax (352) 742-0059
Practice Location
1879 NIGHTINGALE LN
A-2
TAVARES FL, 32778-4363, US
Phone (352) 742-0079
Fax (352) 742-0059
Business Location
1879 NIGHTINGALE LN
A-2
TAVARES FL, 32778-4363, US
Phone (352) 742-0079
Fax (352) 742-0059
Toxanomy
Taxonomy Code 261QA1903X
License State Florida
License Number 1049
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According to our database, Plastic Surgery Center Of Lake County NPI is 1073543310, taxonomy code is 261QA1903X and license number is 1049, license state is located at Florida. Plastic Surgery Center Of Lake County physically located at 1879 Nightingale Ln, Tavares FL, 32778-4363. NPI Number 1033115704 has the healthcare provider type.

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1073543310 NPI number is provided on an as is basis without warranty of any kind. 1073543310 is maintained by the National Plan & Provider Enumeration System. The contents of Plastic Surgery Center Of Lake County are for informational purposes only.