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Individual

JENNIFER LYNN BRINCKERHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4750 THE GROVE DRIVE STE 280, ORLANDO, FL 32819
(407) 704-7546
(321) 400-1109
Mailing address
4750 THE GROVE DRIVE STE 280, ORLANDO, FL 32819
(407) 704-7546
(321) 400-1109

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
PA9108310
FL
363AM0700X
Medical Physician Assistant
Primary
PA9108310
FL

Other

Enumeration date
10/07/2014
Last updated
06/04/2018
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