Lyle E Wadsworth MD PA

NPI #1205018207 in Deland, Florida

Provider Information

NPI Number
1205018207
Entity Type
Organization
Organization Name
Lyle E Wadsworth MD PA
Primary Specialty
Internal Medicine
Enumeration Date
Nov 30, 2007
Last Updated
Mar 6, 2008

Practice Location

Address
890 N BOUNDARY AVE STE 102
City
Deland
State
Florida
ZIP Code
32720-3173
Phone
(386) 740-0224

Authorized Official

Name
DR. LYLE E. WADSWORTH, MD
Title
PRESIDENT
Phone
(386) 740-0224

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Geriatric MedicineGeriatric Medicine
Internal Medicine - Hospice and Palliative MedicineHospice and Palliative Medicine
Internal Medicine

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