Provider Demographics
NPI:1881083368
Name:GUNAWARDENE, SHARIFFA (ARNP)
Entity type:Individual
Prefix:
First Name:SHARIFFA
Middle Name:
Last Name:GUNAWARDENE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3347 STATE ROAD 7
Mailing Address - Street 2:SUITE 206
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33449-8148
Mailing Address - Country:US
Mailing Address - Phone:866-427-0850
Mailing Address - Fax:561-282-3238
Practice Address - Street 1:3347 STATE ROAD 7
Practice Address - Street 2:SUITE 206
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33449-8148
Practice Address - Country:US
Practice Address - Phone:866-427-0850
Practice Address - Fax:561-282-3238
Is Sole Proprietor?:No
Enumeration Date:2015-01-21
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9177532363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner