Individual
GEORGE WICKRAMANAYAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
855 S HIGHLAND AVE, CLEARWATER, FL 33756-4446
(727) 219-1833
(727) 298-8794
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(305) 628-6117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME140806
FL
Other
Enumeration date
04/07/2016
Last updated
12/05/2019
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