Organization
T & R INC
Active
Other names
White Pomegranate, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY SINHA-KHONA MD (PRESIDENT)
(904) 733-6487
Entity
Organization
Contact information
Practice address
4131 UNIVERSITY BLVD S STE 4A, JACKSONVILLE, FL 32216-4322
(904) 733-6487
(904) 733-6542
Mailing address
4131 UNIVERSITY BLVD S STE 4A, JACKSONVILLE, FL 32216-4322
(904) 733-6487
(904) 733-6542
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
ME26358
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259244400
—
FL
Enumeration date
04/04/2013
Last updated
10/18/2013
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