FLORIDA INTERNAL MEDICINE, PL
Osteopathic Medicine at Lake St, Leesburg, FL

License number
Florida ME80590
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. DWARAKNADH R BANALA M.D.
Title: OWNER
Phone: (352) 365-0099
Address
Address 2
620 S Lake St, Leesburg, FL 34748
3016 Palermo Ct, Mount Dora, FL 32757
National Provider ID: 1912954439
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about FLORIDA INTERNAL MEDICINE, PL at bizstanding.com

Florida Internal Medicine, Pl

Eustis, FL  -  Leesburg, FL  -  Mount Dora, FL

Industry:
Medical Doctor's Office, Health/Allied Services, Internist
Registration:
Apr 26, 2005
Phone:
(352) 365-0099 (Phone)
Addresses:
2405 E Moonlight Ln, Eustis, FL 32726
620 S Lk St, Leesburg, FL 34748
3016 Palermo Ct, Mount Dora, FL 32757
State ID:
L05000040796
Business type:
Florida Limited Liability
Managing Member:
Dwaraknadh R. Banala (Managing Member)

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