Provider Demographics
NPI:1811333024
Name:SINCLAIR, MARIAMA SOYINI I (LMT AS)
Entity type:Individual
Prefix:MRS
First Name:MARIAMA
Middle Name:SOYINI
Last Name:SINCLAIR
Suffix:I
Gender:F
Credentials:LMT AS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7008 IRONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-5816
Mailing Address - Country:US
Mailing Address - Phone:407-283-8200
Mailing Address - Fax:
Practice Address - Street 1:7008 IRONWOOD DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-5816
Practice Address - Country:US
Practice Address - Phone:407-283-8200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-14
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA67618225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist