Doctor Name: | LYLE SKLAR |
NPI Number: | 1013923853 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M |
License Number: | PO 1398 |
Business Practice Address: | 112 S Federal Hwy Suite 1 Boynton Beach, FL - 334354939 |
Business Phone Number: | 5617361033 |
Business Fax Number: | 5614041445 |
Mailing Address: | 112 S Federal Hwy, Suite 1 BOYNTON BEACH |
State: | FL |
Postal Code: | 334354939 |
Phone Number: | 5617361033 |
Fax Number: | 5614041445 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 11/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | PO 1398 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |