Organization
FLORIDA HEART & VASCULAR SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJESH LALL MD (OWNER)
(863) 682-8401
Entity
Organization
Contact information
Practice address
1417 LAKELAND HILLS BLVD, SUITE 106, LAKELAND, FL 33805-3200
(863) 682-8401
(863) 802-9611
Mailing address
1417 LAKELAND HILLS BLVD, SUITE 106, LAKELAND, FL 33805-3200
(863) 682-8401
(863) 802-9611
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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