Florida Internal Medicine, Pl
Florida Internal Medicine, Pl is an Internal Medicine Physician in Leesburg, Florida. Licensed in Florida. Registered with an NPI since 2006.
- Licensed in
- FL
- In the registry since
- 2006
Practice location Address checks out
620 S Lake St Suite# 6Leesburg, FL 34748-6059
Phone: (352) 365-0099
Fax: (352) 315-0578
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence ME80590 (FL) |
|---|
Record details
| NPI number | 1912954439 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dwaraknadh Banala — Owner · (352) 365-0099 |
| NPI enumerated | May 29, 2006 |
| Last updated in NPPES | January 10, 2011 |
| Mailing address | 3016 Palermo Ct, Mount Dora, FL 32757-6527 |
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