Individual provider · Type 1 NPI

Purandath Lall, MD

Vascular Surgery Physician · Port St. Lucie, FL

NPI number 1992777338 Active

Practice location

10080 SW Innovation Way Ste 201
Port St. Lucie, FL 34987-2129

Fax (772) 344-3890

Mailing address

PO Box 417
Stuart, FL 34995-0417

Other practice locations

  • 1920 SW 20th Pl, #100, Ocala, FL 34471-7881 · (352) 237-1212

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician 2086S0129X47964 (MN)
Vascular Surgery Physician Primary 2086S0129X125959 (FL)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

16 other providers at this address

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About NPI 1992777338

Purandath Lall, MD's National Provider Identifier is 1992777338, issued on Feb 1, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Port St. Lucie, FL. The record was last updated on Oct 14, 2020.