Individual
DR. VIRAINE S WEERASOORIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22655 BAYSHORE RD STE 110, PORT CHARLOTTE, FL 33980-2005
(941) 235-4900
(941) 235-4901
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6050
(239) 343-7455
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2018027030
MO
2080P0206X
Pediatric Gastroenterology Physician
Primary
2018027030
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275446100
—
FL
Enumeration date
07/18/2006
Last updated
06/27/2024
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