Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Don Anton Dayantha Wisidagama, PA

Individual provider Medical Physician Assistant · NPI 1437628260

Don Anton Dayantha Wisidagama, PA is a Physician Assistant in Lake Mary, Florida. Qualified in 2019, 7 years ago. Practices with Orlando Carenow Urgent Care LLC, a 53-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
7
Licensed in
FL, NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

725 Rodel Cv
Lake Mary, FL 32746-4859
Phone: (407) 302-3130
Fax: (407) 302-3132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 253 Sumner Pl, Staten Island, NY 10301-2835 — (347) 636-6950

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9113883 (FL)
Physician Assistant Taxonomy 363A00000X (NY)

Record details

NPI number1437628260
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 22, 2018
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Orlando Carenow Urgent Care Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations18 on file with Medicare

Other providers in Lake Mary