Individual
VINOD LALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1482 SW 151ST AVE, PEMBROKE PINES, FL 33027-2373
(786) 553-1162
Mailing address
1482 SW 151ST AVE, PEMBROKE PINES, FL 33027-2373
(786) 553-1162
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OTA13905
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
328977
COTA
FL
Enumeration date
09/08/2014
Last updated
09/08/2014
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