Healthcare Provider Details

I. General information

NPI: 1235961244
Provider Name (Legal Business Name): ANNA SAKATA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2024
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2809 CORRINE DR
ORLANDO FL
32803-2235
US

IV. Provider business mailing address

235 E PRINCETON ST STE 110
ORLANDO FL
32804-5555
US

V. Phone/Fax

Practice location:
  • Phone: 407-898-9922
  • Fax: 877-583-1130
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9119494
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: