Organization
THE BARRANCO CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE D. LYLE M.D. (PARTNER)
(863) 299-1251
Entity
Organization
Contact information
Practice address
160 E LAKE HOWARD DR, WINTER HAVEN, FL 33881-3155
(863) 299-1251
(863) 299-7666
Mailing address
160 E LAKE HOWARD DR, WINTER HAVEN, FL 33881-3155
(863) 299-1251
(863) 299-7666
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2530082-00
—
FL
Enumeration date
07/10/2006
Last updated
03/19/2010
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