Dr. Mahapitiyage P. Peiris M.D.
Anesthesiology Physician in Jacksonville, FL(View on Map)
Full Name
Dr. Mahapitiyage Prith Peiris M.D.
NPI Number
1407843790
NPI Type
Individual Provider
Gender
Male
Enumeration Date
10/01/2005
Specialties
(Taxonomies)Name
Code
207L00000X
207LC0200X
207LP2900X
Primary Taxonomy
Yes
No
No
Licenses
State
Florida
License Number
ME74689
Contact
Information
Purpose
Mailing
Location
Address
4500 SAN PABLO RD S
4500 SAN PABLO RD S
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32224-1865
32224-1865
Country
US
US
Telephone Number
(904) 953-2000
(904) 953-2000
Identifiers
Identifier
050075666
35549
259580000
Identifier State
FL
FL
FL
Identifier Issuer
RAILROAD MEDICARE
BLUECROSS/BLUESHIELD
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/21/2017