Individual
SOPHIA SHAHINTAJ SHEIKH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-5044
(904) 244-4508
Mailing address
PO BOX 44008, PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME106126
FL
207P00000X
Emergency Medicine Physician
TRN11009
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002341900
—
FL
05
—
837734509D
—
GA
Enumeration date
05/29/2007
Last updated
07/20/2012
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