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Physician Compare National (NPI:1710207352)

HEALTHCARE PROVIDER: DILENDRA HARITHA WEERASINGHE M.D

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1710207352
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4385884311
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20130715000727
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name WEERASINGHE
Individual professional last name
Provider First Name DILENDRA
Individual professional first name
Provider Middle Name H
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2002
Individual professional's medical school graduation year
Primary Specialty GENERAL SURGERY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name WEST FLORIDA PHYSICIAN NETWORK, LLC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 1153476544
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 31
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 9332 STATE RD
Group Practice or individual's line 1 address
Line 2 Street Address 54 SUITE 400
Group Practice or individual's line 2 address
City TRINITY
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 346551810
Group Practice or individual's zip code (9 digits when available)
Phone Number 7273758313
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 100191
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 MEDICAL CENTER OF TRINITY
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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