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Isuruni Gayanathika Sonnadara, MD
General Practice Physician in Lakeland, Florida
NPI 1972168938

Isuruni Gayanathika Sonnadara is a General Practice Physician based in Orlando, FL. Isuruni Gayanathika Sonnadara practices in Lakeland, FL and has the professional credentials of MD. The NPI Number for Isuruni Gayanathika Sonnadara is 1972168938 and holds a License No. 2019009322 (Florida).

The current practice location address for Isuruni Gayanathika Sonnadara is 4725 Us Highway 98 S Ste 102, Lakeland, FL and can be reached out via phone at 863-646-9663 and via fax at 863-646-9664.

Location: 4725 Us Highway 98 S Ste 102, Lakeland, FL, 32821-6027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972168938
Provider Name
Isuruni Gayanathika Sonnadara
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4725 Us Highway 98 S Ste 102, Lakeland, FL, 32821-6027
Phone Number
863-646-9663
Fax Number
863-646-9664
Provider Enumeration Date
05/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4725 Us Highway 98 S Ste 102
City
Lakeland
State
Florida
Zip
33812-4334
Phone Number
863-646-9663
Fax Number
863-646-9664
person
Provider Business Mailing Address Details
Address
4725 Us Highway 98 S Ste 102
City
Lakeland
State
Florida
Zip
33812-4334
Phone Number
863-646-9663
Fax Number
863-646-9664
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
ACN1431 (Florida)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
2019009322 (Missouri)
Definition
Definition to come...
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