Individual
AVERY B BRINKLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3143 SW 32ND AVE, SUITE 100, OCALA, FL 34474-4403
(352) 291-0014
(352) 291-0057
Mailing address
PO BOX 773029, OCALA, FL 34477-3029
(352) 291-0014
(352) 291-0057
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME35747
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061623100
—
FL
01
—
17469
BCBS
FL
Enumeration date
01/27/2006
Last updated
08/23/2011
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