Individual
DR. BHARTI S LALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14171 METROPOLIS AVE, 202, FORT MYERS, FL 33912-4335
(239) 561-2202
(239) 561-3099
Mailing address
14171 METROPOLIS AVE, 202, FORT MYERS, FL 33912-4335
(239) 561-2202
(239) 561-3099
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME061324
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28526
BCBS
FL
05
—
370593500
—
FL
Enumeration date
09/12/2005
Last updated
08/06/2025
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