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Individual

RAJESAMBHAJI SHIVAJIRAO BORADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
822 PERKINS ST, LEESBURG, FL 34748
(352) 315-4111
(352) 315-4112
Mailing address
822 PERKINS ST, LEESBURG, FL 34748
(352) 315-4111
(352) 315-4112

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
202706
LA

Other

Enumeration date
02/05/2009
Last updated
01/11/2017
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