OrganizationActive
Beaches Ear, Nose and Throat, PA
NPI 1013391275 · Assistive Technology Practitioner Audiologist · Jacksonville Beach, FL
Provider details
- NPI number
- 1013391275
- Entity type
- Organization
- Primary specialty
- Assistive Technology Practitioner AudiologistSpeech, Language and Hearing Service Providers
- Authorized official
- Jeffrey Brink, Owner
- License
- AY1951 (FL)
Practice location
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
Registry dates
- Enumerated
- 2015-07-16
- Last updated
- 2015-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.