Wijetilleke, Asoka

Wijetilleke, Asoka is an individual health care provider with primary practice located at 959 37Th Pl , Vero Beach FL 32960-6541. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wijetilleke, Asoka can be contacted via phone (772) 569-3212.

Contact Information

Primary practice address
959 37Th Pl Vero Beach FL 32960-6541
Fax: (772) 569-1435
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME23270 Florida

Profile Details

NPI number 1750394987
LBN Legal business name Wijetilleke, Asoka
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated May 11th, 2023 - about last year

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 1750394987 NPPES
Florida MEDICAID 116815200

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