FLORIDA INTERNAL MEDICINE, PL

LEESBURG, FL
NPI1912954439
Entity TypeOrganization
Authorized ContactDWARAKNADH R BANALA
Owner
352-365-0099
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: FL  ME80590)
Enumeration Date2006-05-29
Last Update Date2011-01-10
Business Address
FLORIDA INTERNAL MEDICINE, PL
620 S LAKE ST SUITE# 6
LEESBURG, FL 34748-6059
Phone number: 352-365-0099
Mailing Address
FLORIDA INTERNAL MEDICINE, PL
3016 PALERMO CT
MOUNT DORA, FL 32757-6527
Phone number: 352-383-8209
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