Individual
CHANDIMA SUMUDU WASANA SIYAMBALAPITIYAGE DONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5670 58TH AVE N, SAINT PETERSBURG, FL 33709-2048
(323) 540-1974
Mailing address
5670 58TH AVE N, SAINT PETERSBURG, FL 33709-2048
(323) 540-1974
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11046779
FL
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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