Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Purandath Lall, MD

Individual provider Vascular Surgery Physician · NPI 1992777338

Purandath Lall, MD is a Vascular Surgery in Port St Lucie, Florida. Qualified in 1994, 32 years ago. Practices with Martin Memorial Medical Center Inc, a 516-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Minnesota.

Years since qualifying
32
Licensed in
FL, MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10080 SW Innovation Way Ste 201
Port St Lucie, FL 34987-2129
Phone: (772) 344-3811
Fax: (772) 344-3890
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1920 Sw 20th Pl, Ocala, FL 34471-7881 — (352) 237-1212

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 125959 (FL)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 47964 (MN)

Record details

NPI number1992777338
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 1, 2006
Last updated in NPPESOctober 14, 2020
Certification dateOctober 14, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Martin Memorial Medical Center Inc — 516 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Port St Lucie