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Individual

DR. LYAD GOZAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1639 FORUM PL, SUITE 7, WEST PALM BEACH, FL 33401-2330
(561) 712-8821
(561) 712-8070
Mailing address
1639 FORUM PL, SUITE 7, WEST PALM BEACH, FL 33401-2330
(561) 712-8821
(561) 712-8070

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD200673
LA
2084P0800X
Psychiatry Physician
Primary
ME100930
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
076140100
FL
05
1-07413-6
LA
Enumeration date
03/22/2007
Last updated
06/13/2012
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