Fried, Lyle R
Fried, Lyle R is an sole proprietor health care provider with primary practice located at 5785 Nw Wesley Rd , Port Saint Lucie FL 34986-4207. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Fried, Lyle R can be contacted via phone (772) 332-8711.Contact Information
Primary practice address
5785 Nw Wesley Rd
Port Saint Lucie FL 34986-4207
Phone: (772) 332-8711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 4805 | Florida |
Profile Details
| NPI number | 1164175121 |
|---|---|
| LBN Legal business name | Fried, Lyle R |
| Credentials | CAP, ICADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2022 |
| Last updated | Mar 12th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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