Healthcare Provider Details

I. General information

NPI: 1306852066
Provider Name (Legal Business Name): SANDHYA MEESALA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5579 S. ORANGE AVE,
ORLANDO FL
32809
US

IV. Provider business mailing address

1776 WOODSTEAD CT STE 208
THE WOODLANDS TX
77380-1480
US

V. Phone/Fax

Practice location:
  • Phone: 407-241-4800
  • Fax:
Mailing address:
  • Phone: 267-304-3523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberME152347
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: