MEDICARE: T & R INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	305R00000X	Preferred Provider Organization	ME26358	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306189683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T & R INC

Provider Business Mailing Address
First Line	:	4131 UNIVERSITY BLVD S STE 4A
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-4322
Country	:	US
Telephone Number	:	904-733-6487
Fax Number	:	904-733-6542

Provider Business Practice Location Address
First Line	:	4131 UNIVERSITY BLVD S STE 4A
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-4322
Country	:	US
Telephone Number	:	904-733-6487
Fax Number	:	904-733-6542

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TRACY SINHA-KHONA
Credential	:	MD
Telephone Number	:	904-733-6487

Provider Enumeration Date	:	04/04/2013
Last Update Date	:	10/18/2013

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Directions to “T & R INC ” Practice Location

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