Florida Internal Medicine, Pl

NPI #1912954439 in Leesburg, Florida

Provider Information

NPI Number: 1912954439
Entity Type: Organization
Organization Name: Florida Internal Medicine, Pl
Primary Specialty: Internal Medicine
Enumeration Date: May 29, 2006
Last Updated: Jan 10, 2011

Practice Location

Address: 620 S LAKE ST
Address 2: SUITE# 6
City: Leesburg
State: Florida
ZIP Code: 34748-6059
Phone: (352) 365-0099

Authorized Official

Name: DR. DWARAKNADH R BANALA, M.D.
Title: OWNER
Phone: (352) 365-0099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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