BEACHES EAR NOSE AND THROAT PA NPI 1013391275

NPI Information

NPI: 1013391275
Provider Name: BEACHES EAR, NOSE AND THROAT, PA
Classification: Audiologist - 231HA2400X
Entity Type: Organization

Specialization: Assistive Technology Practitioner

Address:
3200 3RD ST S
SUITE 101
JACKSONVILLE BEACH, FL
ZIP 32250
Phone: (904) 247-4070
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BEACHES EAR, NOSE AND THROAT, PA is an assistive technology practitioner audiologist in Jacksonville Beach, FL. BEACHES EAR, NOSE AND THROAT, PA NPI is 1013391275. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3200 3RD ST S
SUITE 101
JACKSONVILLE BEACH, FL
ZIP 32250-096
Phone: (904) 247-4070
Fax: (904) 247-4131

The provider's authorized official is Jeffrey E Brink .
The authorized official title is Owner and has the following contact phone number (904) 247-4070.

The enumeration date for this NPI number is 7/16/2015 and was last updated on 7/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	231HA2400X	Audiologist	Assistive Technology Practitioner	AY1951	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	G06095	MEDICARE UPIN	FLORIDA
2	269691601	MEDICAID	FLORIDA
3	K1693A	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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