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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407843790 NPPES
Florida Other 050075666 RAILROAD MEDICARE
Florida Other 35549 RAILROAD MEDICARE
Florida MEDICAID 259580000 RAILROAD MEDICARE

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