Organization
BEACHES EAR NOSE & THROAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY EINAR BRINK M.D. (PHYSICIAN/OWNER)
(904) 247-4070
Entity
Organization
Contact information
Practice address
3200 3RD ST S, SUITE 101, JACKSONVILLE BEACH, FL 32250-6096
(904) 247-4070
(904) 247-4131
Mailing address
PO BOX 3217, PONTE VEDRA BEACH, FL 32004-3217
(904) 247-4070
(904) 247-4131
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269691601
—
FL
Enumeration date
09/23/2005
Last updated
12/02/2014
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