Peiris, Mahapitiyage Prith
Peiris, Mahapitiyage Prith is an sole proprietor health care provider with primary practice located at 4500 San Pablo Rd S , Jacksonville FL 32224-1865. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Peiris, Mahapitiyage Prith can be contacted via phone (904) 953-2000.Contact Information
Primary practice address
4500 San Pablo Rd S
Jacksonville FL 32224-1865
Phone: (904) 953-2000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | ME74689 | Florida |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ME74689 | Florida |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME74689 | Florida |
Profile Details
NPI number | 1407843790 |
---|---|
LBN Legal business name | Peiris, Mahapitiyage Prith |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 1st, 2005 |
Last updated | Dec 21st, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407843790 | NPPES |
Florida | Other | 050075666 | RAILROAD MEDICARE |
Florida | Other | 35549 | RAILROAD MEDICARE |
Florida | MEDICAID | 259580000 | RAILROAD MEDICARE |
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