SearchFlorida363AM0700X

Don Wisidagama, PA

NPI 1437628260 · on the registry since 2018

Practice

Address
725 Rodel Cv
Lake Mary, FL 32746
Phone
(407) 302-3130
Fax
(407) 302-3132
Organisation at this address
Physician Associates Llc
Physician Associates Llc
Orlando Physicians Network Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Additional practice sites

  • 253 Sumner Pl, Staten Island, NY

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
363A00000X
Licence states on file
FL, NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida