Lyle E Wadsworth in Deland - Geriatric Medicine

Lyle E Wadsworth - NPI 1356347561

Lyle E Wadsworth is a Geriatric Medicine in Deland, Florida. Lyle E Wadsworth practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Lyle E Wadsworth is 1356347561. The last update date is 2008-03-27.

Lyle E Wadsworth's current location address is 890 N Boundary Ave, Deland, Florida. You can contact this provider via phone number 3867400224 and fax number 3867409711. The mailing address for Lyle E Wadsworth is 890 N Boundary Ave, Deland, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Lyle E Wadsworth
Address 890 N Boundary Ave, Deland, Florida
Phone Number 3867400224
Fax Number 3867409711
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1356347561
Provider Enumeration Date 2005-06-22
Last Updated Date 2008-03-27

Provider Mailing Address Detail

Address 890 N Boundary Ave
City Deland
State Florida (FL)
Post Code 3272031730
Phone Number 3867400224
Fax Number 3867409711

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Rg0300X
Licence No ME30902
Definition:
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
50266105 FL UNITEDHEALTHCARE
2198298007 FL CIGNA
64391 FL BC/BS
5490138 FL AETNA

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FAQs about Lyle E Wadsworth

What is the unique 10-digit identifier code issued to Lyle E Wadsworth by the Centers for Medicare & Medicaid Services?

The Lyle E Wadsworth has been assigned the NPI (National Provider Identifier) 1356347561 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Lyle E Wadsworth is physically located?

The Lyle E Wadsworth is physically situated at the following address: 890 N Boundary Ave, Deland, FL, 3272031730.

What is Lyle E Wadsworth's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Lyle E Wadsworth is Geriatric Medicine, and the corresponding taxonomy classification code for this specialized field is 207Rg0300X.

When did Lyle E Wadsworth receive its 1356347561 assignment?

The Lyle E Wadsworth was assigned its 1356347561 on 2005-06-22, which is the date when this unique identifier was issued to the organization.

When was the information regarding Lyle E Wadsworth most recently updated?

The details pertaining to the Lyle E Wadsworth, including its address, specialty, and other relevant information, were last refreshed on 2008-03-27.

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