Organization
LYLE G VASHER D P M P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYLE G. VASHER D.P.M. (OWNER)
(941) 474-5577
Entity
Organization
Contact information
Practice address
1861 PLACIDA RD., SUITE# 103, ENGLEWOOD, FL 34223-4911
(941) 474-5577
(941) 473-4145
Mailing address
1861 PLACIDA RD., SUITE# 103, ENGLEWOOD, FL 34223-4911
(941) 474-5577
(941) 473-4145
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO1478
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040952900
—
FL
Enumeration date
10/02/2006
Last updated
06/24/2010
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