Richard Tavares Bosshardt
PLASTIC SURGERY CENTER OF LAKE COUNTY, P.A.


Address: 1879 Nightingale Lane, Suite A 2, Tavares, FL 32778-4363
Phone: 3527420079

Richard Tavares Bosshardt (NPI# 1942235783, PAC ID# 5496948093) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.

Physician Overview

Nation Provider ID (NPI) 1942235783
PAC ID by PECOS 5496948093
Professional Enrollment ID I20101014001248
Full Name Richard Tavares Bosshardt
Organization Legal Name PLASTIC SURGERY CENTER OF LAKE COUNTY, P.A.
Address 1879 Nightingale Lane
Suite A 2
Tavares
FL 32778-4363
Phone Number 3527420079
Gender M
Medical School UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
Graduation Year 1978
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Group Practice PAC ID 2860685468
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100057 FLORIDA HOSPITAL WATERMAN

Other Locations

Address Phone Organization
1879 Nightingale Lane, Suite A 2, Tavares, FL 32778-4363 3527420079 PLASTIC SURGERY CENTER OF LAKE COUNTY, P.A.

Organization Information

Organization Legal Name PLASTIC SURGERY CENTER OF LAKE COUNTY, P.A.
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Peter Alan Marzek Plastic and Reconstructive Surgery Plastic Surgery Center of Lake County, P.a. 1879 Nightingale Lane, Suite A 2, Tavares, FL 32778-4363

Office Location

Street Address 1879 NIGHTINGALE LANE
SUITE A 2
City TAVARES
State FL
Zip 32778-4363

Physicians in the same location

Name Specialty Organization Address
Samuel J Goss Cardiovascular Disease (cardiology) Cardiovascular Associates of Lake County, Pa 1879 Nightingale Lane, Suite C1, Tavares, FL 32778-4363
Peter Alan Marzek Plastic and Reconstructive Surgery Plastic Surgery Center of Lake County, P.a. 1879 Nightingale Lane, Suite A 2, Tavares, FL 32778-4363
Theresa A Mills Cardiovascular Disease (cardiology) Cardiovascular Associates of Lake County, Pa 1879 Nightingale Lane, Suite C1, Tavares, FL 32778-4363
Miguel Bryce Cardiac Electrophysiology Cardiovascular Associates of Lake County, Pa 1879 Nightingale Lane, Tavares, FL 32778-4363
Alex A Caballero Cardiovascular Disease (cardiology) Cardiovascular Associates of Lake County, Pa 1879 Nightingale Lane, Tavares, FL 32778-4363
Moises Fraifeld Cardiovascular Disease (cardiology) Cardiovascular Associates of Lake County, Pa 1879 Nightingale Lane, Suite C1, Tavares, FL 32778-4363
Theresa S Turkel Certified Registered Nurse Anesthetist (crna) Nature Coast Anesthesia Providers Pa 1879 Nightingale Lane, Suite A 2, Tavares, FL 32778-4363
Julio H Lesmes Cardiovascular Disease (cardiology) Cardiovascular Associates of Lake County, Pa 1879 Nightingale Lane, Suite C1, Tavares, FL 32778-4363
Brett Douglas Howard Certified Registered Nurse Anesthetist (crna) Quiescence Anesthesia LLC 1879 Nightingale Lane, Suite A 1, Tavares, FL 32778-4363
Christine Desantis Nurse Practitioner Cardiovascular Associates of Lake County, Pa 1879 Nightingale Lane, Tavares, FL 32778-4363
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Kenneth E Stark Rheumatology 1613 Banning Beach Rd, Tavares, FL 32778-2024
Maxine A Ruddock Psychologist, Clinical 322 N Barrow Ave, Tavares, FL 32778-3002
Karen K Estill Psychologist, Clinical 101 E Maud St, Tavares, FL 32778-3249
Deborah W Ho Clinical Social Worker Counseling and Development Center Inc 101 E Maud St, Tavares, FL 32778-3249
Brian L Boyd Psychologist, Clinical Counseling and Development Center Inc 101 E Maud St, Tavares, FL 32778-3249
Marvin L Smith Clinical Social Worker Counseling and Development Center Inc 101 E Maud St, Tavares, FL 32778-3249
Juliet Smith Clinical Social Worker Counseling and Development Center Inc 101 E Maud St, Tavares, FL 32778-3249
Amberlee K Henson Clinical Psychologist Counseling and Development Center Inc 101 E Maud St, Tavares, FL 32778-3249
David L Frerking Chiropractic 915 E Alfred St, Tavares, FL 32778-3401
Ebony Monique Rollins Nurse Practitioner Community Health Centers, Inc 212 E Main St, Tavares, FL 32778-3808
Find all physicians in zip 32778

Competitor

Search similar physicians

City TAVARES
Zip Code 32778
Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
City + Specialty TAVARES + PLASTIC AND RECONSTRUCTIVE SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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