Individual
DR. LIYANAGE WIMAL FERNANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12808 COASTAL BREEZE WAY, BRADENTON, FL 34211-1219
(239) 206-4499
Mailing address
12808 COASTAL BREEZE WAY, BRADENTON, FL 34211-1219
(239) 206-4499
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME 75951
FL
Other
Enumeration date
08/08/2012
Last updated
09/28/2021
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