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Individual

GEORGE D LYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
160 E LAKE HOWARD DR, WINTER HAVEN, FL 33881-3155
(863) 299-1251
(863) 299-7666
Mailing address
8181 NW 154TH ST STE 200, MIAMI LAKES, FL 33016-5861
(305) 558-3724
(786) 907-4485

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME64521
FL
207YX0602X
Otolaryngic Allergy Physician
ME64521
FL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
ME64521
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
373177-400
FL
Enumeration date
07/10/2006
Last updated
05/24/2021
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