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1821191289
OLIVER BENNETT LAO
HOLLYWOOD, FL
NPI
1821191289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0120X Surgery, Pediatric Surgery
(Licence: FL ME130985)
Enumeration Date
2006-09-07
Last Update Date
2022-02-02
Business Address
OLIVER BENNETT LAO MD
1150 N 35TH AVE STE 555
HOLLYWOOD, FL 33021-5431
Phone number: 954-265-0072
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Mailing Address
OLIVER BENNETT LAO MD
2900 CORPORATE WAY DOOR D
MIRAMAR, FL 33025-3925
Phone number: 954-276-5685
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