Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lyle E Wadsworth MD PA

Organization Internal Medicine Physician · NPI 1205018207

Lyle E Wadsworth MD PA is an Internal Medicine Physician in Deland, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

890 N Boundary Ave Ste 102
Deland, FL 32720-3173
Phone: (386) 740-0224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME30902 (FL)
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X · Licence ME30902 (FL)
Hospice and Palliative Medicine (Internal Medicine) Physician Taxonomy 207RH0002X · Licence ME30902 (FL)

Record details

NPI number1205018207
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lyle Wadsworth — President · (386) 740-0224
NPI enumeratedNovember 30, 2007
Last updated in NPPESMarch 6, 2008
Mailing address890 N Boundary Ave Ste 102, Deland, FL 32720-3173

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