Dr RICHARD TAVARES BOSSHARDT is a male medical professional, specializing in Plastic And Reconstructive Surgery. He graduated in 1978 from University Of Miami School Of Medicine.
PLASTIC SURGERY CENTER OF LAKE COUNTY, P.A.
1879 NIGHTINGALE LANE
SUITE A 2
TAVARES
FL
327784363
Tel: 3527420079
| Npi | 1942235783 |
| Pac Id | 5496948093 |
| Professional Enrollment Id | I20101014001248 |
| Last Name | BOSSHARDT |
| First Name | RICHARD |
| Middle Name | TAVARES |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PLASTIC SURGERY CENTER OF LAKE COUNTY, P.A. |
| Group Practice Pac Id | 2860685468 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 1879 NIGHTINGALE LANE |
| Line 2 Street Address | SUITE A 2 |
| Marker Of Address Line 2 Suppression | |
| City | TAVARES |
| State | FL |
| Zip Code | 327784363 |
| Phone Number | 3527420079 |
| Hospital Affiliation Ccn 1 | 100057 |
| Hospital Affiliation Lbn 1 | FLORIDA HOSPITAL WATERMAN |
| Hospital Affiliation Ccn 2 | 100084 |
| Hospital Affiliation Lbn 2 | LEESBURG REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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