MEDICARE: DR. MWATA SANKARA PH.D.

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	103TC1900X	Counseling Psychologist	PY8137	FL

General Provider Information

NPI Number	:	1619278215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MWATA SANKARA PH.D.

Provider Business Mailing Address
First Line	:	1316 N PINE HILLS RD # 101
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-4832
Country	:	US
Telephone Number	:	202-425-6681
Fax Number	:

Provider Business Practice Location Address
First Line	:	1316 N PINE HILLS RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-4832
Country	:	US
Telephone Number	:	202-425-6681
Fax Number	:

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

Provider Enumeration Date	:	11/12/2010
Last Update Date	:	05/01/2026

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Directions to “ DR. MWATA SANKARA PH.D.” Practice Location

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