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Individual

DR. LUSHANTHA S GUNASEKERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1723 LUCERNE TER STE 100, ORLANDO, FL 32806-2916
(407) 738-4200
(407) 445-0321
Mailing address
1723 LUCERNE TER STE 100, ORLANDO, FL 32806-2916
(407) 738-4200
(407) 445-0321

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME90665
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000308100
FL
01
ME90665
MEDICAL LICENSE
FL
Enumeration date
03/13/2008
Last updated
11/28/2023
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