Individual
SARDHA M PERERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6333 54TH AVE N, ST PETERSBURG, FL 33709-1703
(727) 548-6100
(727) 545-0960
Mailing address
6333 54TH AVE N, ST PETERSBURG, FL 33709-1703
(727) 548-6100
(727) 545-0960
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME83234
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME83234
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME83234
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13417
WELLCARE
—
01
—
78636
BCBS
—
Enumeration date
03/10/2006
Last updated
09/18/2015
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