Individual
SUDHIRA KULATUNGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5955 PONCE DE LEON BLVD., CORAL GABLES, FL 33146
(305) 661-1515
(305) 662-3723
Mailing address
5955 PONCE DE LEON BLVD., CORAL GABLES, FL 33146
(305) 661-1515
(305) 662-3723
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME76329
FL
2080P0203X
Pediatric Critical Care Medicine Physician
ME0076329
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256581100
—
FL
01
—
46717
BC BS ID NUMBER
FL
Enumeration date
01/30/2007
Last updated
12/05/2011
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