MEDICARE: ANGELA P SOSA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1255134169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA P SOSA

Provider Business Mailing Address
First Line	:	1303 AXEL GRAESON AVE
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-5281
Country	:	US
Telephone Number	:	407-600-0563
Fax Number	:

Provider Business Practice Location Address
First Line	:	1411 N DEAN RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32825-5518
Country	:	US
Telephone Number	:	407-895-0801
Fax Number	:	407-895-0803

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2025
Last Update Date	:	04/07/2025

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Directions to “ ANGELA P SOSA ” Practice Location

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