NPI 1013391275

Beaches Ear, Nose and Throat, PA

Organisation Assistive Technology Practitioner Audiologist Jacksonville Beach, FL

Practice location

Address: 3200 3rd St S Suite 101, Jacksonville Beach, FL 32250-6096
Phone: (904) 247-4070
Fax: (904) 247-4131
Mailing address: PO Box 3217, Ponte Vedra Beach, FL 32004-3217

Authorised official

Name: Jeffrey E Brink
Title: Owner
Phone: (904) 247-4070

Registered specialties

Assistive Technology Practitioner Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231HA2400X Licence AY1951 (FL)

Other Audiologist providers in Florida →

Registry record

NPI: 1013391275
Entity type: Organization
NPI issued: 16 Jul 2015
Record last updated: 16 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.