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1437106614
DWARAKNADH R BANALA
LEESBURG, FL
NPI
1437106614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME80590)
Enumeration Date
2006-05-31
Last Update Date
2011-01-11
Business Address
Dr. DWARAKNADH R BANALA M.D.
620 S LAKE ST SUITE #6
LEESBURG, FL 34748-6059
Phone number: 352-365-0099
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Mailing Address
Dr. DWARAKNADH R BANALA M.D.
3016 PALERMO CT
MOUNT DORA, FL 32757-6527
Phone number: 352-383-8209
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