The Barranco Clinic, P.A.

LBN: The Barranco Clinic, P.A.
The Barranco Clinic, P.A. is an health care organization with primary practice located at 160 E Lake Howard Dr , Winter Haven FL 33881-3155. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. The Barranco Clinic, P.A. can be contacted via phone (863) 299-1251, or through Lyle, George D. via phone (863) 299-1251.

Contact Information

Primary practice address
160 E Lake Howard Dr Winter Haven FL 33881-3155
Phone: (863) 299-1251
Fax: (863) 299-7666
Website:
Map and Directions
Authorized official contact:
Name: Lyle, George D. Doctor of Medicine (MD)
Phone: (863) 299-1251

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X

Profile Details

NPI number 1588697502
LBN Legal business name The Barranco Clinic, P.A.
DBA Doing business as
Authorized official Lyle, George D. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Mar 19th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588697502 NPPES
Florida MEDICAID 2530082-00

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