Provider Demographics
NPI:1013073188
Name:EKANAYAKE, DHAMMIKA (MD)
Entity Type:Individual
Prefix:DR
First Name:DHAMMIKA
Middle Name:
Last Name:EKANAYAKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14690 SPRING HILL DR STE 101
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-8102
Mailing Address - Country:US
Mailing Address - Phone:352-799-0046
Mailing Address - Fax:352-606-2857
Practice Address - Street 1:10045 CORTEZ BLVD STE 122
Practice Address - Street 2:
Practice Address - City:WEEKI WACHEE
Practice Address - State:FL
Practice Address - Zip Code:34613-6332
Practice Address - Country:US
Practice Address - Phone:352-596-7580
Practice Address - Fax:352-592-5286
Is Sole Proprietor?:No
Enumeration Date:2006-12-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 94309207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL253729000Medicaid
FL78329OtherBCBS
FLK2539Medicare PIN
FLAC280ZOtherMEDICARE
FLH66412Medicare UPIN