Individual
DR. MATT SPENCER LALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 SW 60TH CT STE 302, MIAMI, FL 33155-4071
(954) 371-0107
Mailing address
3200 SW 60TH CT STE 302, MIAMI, FL 33155-4071
(305) 662-8330
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
A116424
CA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME118674
FL
2084N0600X
Clinical Neurophysiology Physician
A116424
CA
2084N0600X
Clinical Neurophysiology Physician
ME118674
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014784900
—
FL
Enumeration date
06/03/2011
Last updated
07/14/2022
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