BOSSHARDT AND MARZEK , PLASTIC SURGERY ASSOCIATES
NPI 1790881654
Plastic Surgery in Tavares, FL

Q: What is Plastic Surgery Center Of Lake County, P.A.'s specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since September 16, 2006

1879 NIGHTINGALE LN, SUITE #A-2, TAVARES, FL 32778(352) 742-0079(352) 742-0059 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Bosshardt And Marzek , Plastic Surgery Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOSSHARDT AND MARZEK , PLASTIC SURGERY ASSOCIATES (NPI 1790881654) is a healthcare organization registered as a plastic surgery in Tavares, Florida and active in the NPI registry since September 2006. The organization lists Vera D Renfro, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1790881654

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NamePLASTIC SURGERY CENTER OF LAKE COUNTY, P.A.

Location Address1879 NIGHTINGALE LN, SUITE #A-2Tavares, FL 32778-4363

Mailing Address1879 Nightingale Ln, Suite #a-2Tavares, FL 32778-4363 · (352) 742-0079 · Fax (352) 742-0059

Phone(352) 742-0079

Fax(352) 742-0059

Organization SubpartNo

Authorized OfficialVera D RenfroOffice Administrator · (352) 742-0079

Enumeration DateSeptember 16, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1790881654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

1879 NIGHTINGALE LN, Tavares, FL 32778

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Other Names 1

Doing Business AsBosshardt And Marzek , Plastic Surgery Associates

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bosshardt And Marzek , Plastic Surgery Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bosshardt And Marzek , Plastic Surgery Associates, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Richard Bosshardt, M.D.

Plastic and Reconstructive Surgery

NPI 1942235783

1879 NIGHTINGALE LN A-2
Tavares, FL 32778

(352) 742-0079

✔ PECOSSame address

Peter Marzek, M.D.

Plastic and Reconstructive Surgery

NPI 1336171388

1879 NIGHTINGALE LN A-2
Tavares, FL 32778

(352) 742-0079

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Plastic Surgery Center Of Lake County, P.A.'s NPI number?

The NPI number for Plastic Surgery Center Of Lake County, P.A. is 1790881654. It was assigned to this organization in the NPPES registry on September 16, 2006. The provider is doing business as Bosshardt And Marzek , Plastic Surgery Associates.

Where is Plastic Surgery Center Of Lake County, P.A. located?

Plastic Surgery Center Of Lake County, P.A. is located at 1879 Nightingale Ln Suite #a-2, Tavares, FL 32778. The listed phone number is (352) 742-0079.

What is Plastic Surgery Center Of Lake County, P.A.'s specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Plastic Surgery Center Of Lake County, P.A. enrolled in Medicare?

Yes. Plastic Surgery Center Of Lake County, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Plastic Surgery Center Of Lake County, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Plastic Surgery Center Of Lake County, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Plastic Surgery Center Of Lake County, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.