MEDICARE: ANNA SAKATA PA-C

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	363A00000X	Physician Assistant
2	390200000X	Student in an Organized Health Care Education/Training Program
3	363AS0400X	Surgical Physician Assistant
4	363AM0700X	Medical Physician Assistant
5	363A00000X	Physician Assistant	PA9119494	FL

General Provider Information

NPI Number	:	1235961244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA SAKATA PA-C

Provider Business Mailing Address
First Line	:	235 E PRINCETON ST STE 110
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-5555
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2809 CORRINE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-2235
Country	:	US
Telephone Number	:	407-898-9922
Fax Number	:	877-583-1130

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

Provider Enumeration Date	:	08/19/2024
Last Update Date	:	10/06/2025

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Directions to “ ANNA SAKATA PA-C” Practice Location

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