Individual
DR. CARLOS CESAR LASSALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8312 BELFRY PL, PORT SAINT LUCIE, FL 34986-3017
(305) 494-3811
Mailing address
8312 BELFRY PL, PORT SAINT LUCIE, FL 34986-3017
(305) 494-3811
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
108210
FL
Other
Enumeration date
06/08/2007
Last updated
05/05/2015
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