Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | ME26358 | FL |
N | 207KA0200X | Allergist | ME26358 | FL |
NPI | 1356367650 |
---|---|
Provider Name | Tracy A Sinha-Khona |
First Address | Jacksonville, FL 32216-0086 |
Second Address | Jacksonville, FL 32216-4322 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 15/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
259244400 | (05) | FL |