Individual
ASOKA WIJETILLEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
959 37TH PL, VERO BEACH, FL 32960-6541
(772) 569-3212
(772) 569-1435
Mailing address
959 37TH PL, VERO BEACH, FL 32960-6541
(772) 569-3212
(772) 569-1435
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME23270
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116815200
—
FL
Enumeration date
08/15/2006
Last updated
05/11/2023
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