White Pomegranate, Inc

LBN: T & R Inc
White Pomegranate, Inc is an health care organization with primary practice located at 4131 University Blvd S Ste 4A , Jacksonville FL 32216-4322. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. T & R Inc can be contacted via phone (904) 733-6487, or through Sinha-Khona, Tracy via phone (904) 733-6487.

Contact Information

Primary practice address
4131 University Blvd S Ste 4A Jacksonville FL 32216-4322
Phone: (904) 733-6487
Fax: (904) 733-6542
Website:
Map and Directions
Authorized official contact:
Name: Sinha-Khona, Tracy Doctor of Medicine (MD)
Phone: (904) 733-6487

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X ME26358 Florida

Profile Details

NPI number 1306189683
LBN Legal business name T & R Inc
DBA Doing business as White Pomegranate, Inc
Authorized official Sinha-Khona, Tracy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2013
Last updated Oct 18th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306189683 NPPES
Florida MEDICAID 259244400

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