Individual
DR. ISURU SAMPATH JAYARATNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 PALM AVE STE 500, JACKSONVILLE, FL 32207-8457
(904) 202-7300
(904) 202-2754
Mailing address
PO BOX 746654, ATLANTA, GA 30374-6654
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
286840
NY
208800000X
Urology Physician
A112522
CA
208800000X
Urology Physician
Primary
ME178653
FL
208800000X
Urology Physician
Q3387
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130293200
—
FL
05
—
349374401 (MDACC)
—
TX
Enumeration date
06/17/2010
Last updated
04/06/2026
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