Individual
DR. JOHN DEGANAWEIDA NORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1950 ARLINGTON ST, SUITE 310, SARASOTA, FL 34239-3506
(941) 917-6300
(941) 917-6306
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME56312
FL
Other
Enumeration date
01/31/2007
Last updated
11/14/2017
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