PURANDATH LALL

PORT ST LUCIE, FL
NPI1992777338
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0129X 
(Licence: FL  125959)
Additional Taxonomies2086S0129X 
(Licence: MN  47964)
Enumeration Date2006-02-01
Last Update Date2020-10-14
Business Address
PURANDATH LALL MD
10080 SW INNOVATION WAY STE 201
PORT ST LUCIE, FL 34987-2129
Phone number: 772-344-3811
Mailing Address
PURANDATH LALL MD
PO BOX 417
STUART, FL 34995-0417
Phone number: 772-223-2832
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