Provider Demographics
NPI:1306230180
Name:SINCLAIRE, JEMMA B (DC)
Entity Type:Individual
Prefix:
First Name:JEMMA
Middle Name:B
Last Name:SINCLAIRE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15511 N FLORIDA AVE
Mailing Address - Street 2:SUITE 2 AND 3
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-1263
Mailing Address - Country:US
Mailing Address - Phone:727-612-6016
Mailing Address - Fax:813-283-2941
Practice Address - Street 1:15511 N FLORIDA AVE
Practice Address - Street 2:SUITE 2 AND 3
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-1263
Practice Address - Country:US
Practice Address - Phone:727-612-6016
Practice Address - Fax:813-283-2941
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-19
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5147111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition