Individual
GEORGE BRINNIG JASTRZEBSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 NEAPOLITAN WAY, MONTGOMERY EYE CENTER, NAPLES, FL 34103-8570
(239) 261-8383
(239) 261-8443
Mailing address
1360 E VENICE AVE, VENICE, FL 34285-9066
(941) 480-2135
(941) 484-2200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
045360
CT
207W00000X
Ophthalmology Physician
Primary
ME 124499
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2035031
—
MA
01
—
4221675
AETNA/US HEALTHCARE
—
01
—
A36482
MEDICARE B
—
01
—
J27482
BLUE SHIELD HMO BLUE
—
Enumeration date
01/11/2006
Last updated
11/27/2023
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