Healthcare Provider Details

I. General information

NPI: 1366229940
Provider Name (Legal Business Name): SONIA VAID
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2023
Last Update Date: 09/08/2023
Certification Date: 09/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11183 MINNETTA CT
JACKSONVILLE FL
32256-5887
US

IV. Provider business mailing address

11183 MINNETTA CT
JACKSONVILLE FL
32256-5887
US

V. Phone/Fax

Practice location:
  • Phone: 904-703-8572
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License NumberTT14672
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: