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1649658949
BRENDAN LALLY
FORT LAUDERDALE, FL
NPI
1649658949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: FL ME136054)
Enumeration Date
2015-05-07
Last Update Date
2019-01-15
Business Address
BRENDAN LALLY
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316-2510
Phone number: 954-355-5199
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Mailing Address
BRENDAN LALLY
1721 SE 17TH ST APT 451
FORT LAUDERDALE, FL 33316-3142
Phone number: 727-686-4630
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