NPI 1013391275 · live from the CMS NPI Registry
Beaches Ear, Nose And Throat, PA
Audiologist, Assistive Technology Practitioner in Jacksonville Beach, FL. National Provider Identifier 1013391275, active.
NPI record
| NPI | 1013391275 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Audiologist, Assistive Technology Practitioner 231HA2400X |
| Practice location | 3200 3rd St S, Suite 101, Jacksonville Beach, FL 32250 |
| Practice phone | 904-247-4070 |
| Mailing address | Po Box 3217, Ponte Vedra Beach, FL 32004 |
| Enumerated | July 16, 2015 |
| Last updated | July 16, 2015 |
| Authorized official | Jeffrey Brink, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist, Assistive Technology Practitioner primary | 231HA2400X | AY1951 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.