Organization
DR. TED BRINK AND ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA JACOBSON (DIRECTOR OF INSURANCE AND TRAINING)
(904) 446-7009
Entity
Organization
Contact information
Practice address
11406 SAN JOSE BLVD STE 1, JACKSONVILLE, FL 32223-7953
(904) 260-3839
Mailing address
12276 SAN JOSE BLVD STE 305, JACKSONVILLE, FL 32223-8632
(904) 503-3565
(904) 647-9620
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
07/22/2015
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