Lyle E Wadsworth Md Pa
LBN: Lyle E Wadsworth Md Pa
Lyle E Wadsworth Md Pa is an health care organization with primary practice located at 890 N Boundary Ave Ste 102 , Deland FL 32720-3173. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Lyle E Wadsworth Md Pa can be contacted via phone (386) 740-0224, or through Wadsworth, Lyle E. via phone (386) 740-0224.
Contact Information
Primary practice address
890 N Boundary Ave Ste 102
Deland FL 32720-3173
Phone: (386) 740-0224
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME30902 | Florida |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | ME30902 | Florida |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | ME30902 | Florida |
Profile Details
| NPI number | 1205018207 |
|---|---|
| LBN Legal business name | Lyle E Wadsworth Md Pa |
| DBA Doing business as | |
| Authorized official | Wadsworth, Lyle E. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 30th, 2007 |
| Last updated | Mar 6th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205018207 | NPPES |
| Florida | Other | 64391 | BLUE CROSS BLUE SHIELD |
| Florida | Other | 000050266105 | BLUE CROSS BLUE SHIELD |
| Florida | Other | 5490138 | BLUE CROSS BLUE SHIELD |
| Florida | Other | 2198298007 | BLUE CROSS BLUE SHIELD |
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