Beaches Ear, Nose and Throat, PA

Primary specialty

Assistive Technology Practitioner AudiologistTaxonomy code 231HA2400X

License

AY1951 Issued in FL

Legal business name

BEACHES EAR, NOSE AND THROAT, PA

Practice address

3200 3Rd St S
Suite 101
Jacksonville Beach, FL 32250-6096

Phone

(904) 247-4070

Fax

(904) 247-4131

NPI assigned

Jul 16, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey E Brink, M.D.NPI 1942206206

Title

Owner

Phone

(904) 247-4070

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Einar Brink, M.D.

  • Otolaryngology Physician
  • Leesburg, FL
  • NPI 1942206206
  NPD Authorized official
• Stephanie M Collins, PA

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1326152182
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1013391275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3217",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320043217",
            "telephone_number": "904-247-4070",
            "fax_number": "904-247-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 3RD ST S",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506096",
            "telephone_number": "904-247-4070",
            "fax_number": "904-247-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHES EAR, NOSE AND THROAT, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "BRINK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-247-4070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "FL",
            "license": "AY1951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269691601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beaches Acupuncture & Wellness Center
• Beaches Behavioral Medicine
• Beaches Confident Kids LLC
• Beaches Counseling & Therapy
• Beaches Ear Nose & Throat
• Beaches Eye Center, PA
• Beaches Facial and Nasal Surgery Center
• Beaches Family Medicine PA
• Beaches Healthcare, P.a.
• Beaches Nature Therapy LLC

• Assistive Technology Practitioner Audiologist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Assistive Technology Practitioner Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.