Provider Demographics
NPI:1073816096
Name:SAINI, SONYA RANE (PA)
Entity Type:Individual
Prefix:MS
First Name:SONYA
Middle Name:RANE
Last Name:SAINI
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5385 CONROY RD
Mailing Address - Street 2:SUITE 100 &104
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-1215
Mailing Address - Country:US
Mailing Address - Phone:407-777-8794
Mailing Address - Fax:407-588-0588
Practice Address - Street 1:1222 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806
Practice Address - Country:US
Practice Address - Phone:321-841-7856
Practice Address - Fax:321-843-6432
Is Sole Proprietor?:No
Enumeration Date:2010-12-14
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9105542363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY06FGOtherBLUE CROSS BLUE SHIELD
FL003020600Medicaid
FL003020600Medicaid
FLY06FGOtherBLUE CROSS BLUE SHIELD