Doctor Name: | JOHN D BRINKMAN |
NPI Number: | 1003898982 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 17275 |
Business Practice Address: | 1555 Kingsley Ave Suite 503 Orange Park, FL - 320739207 |
Business Phone Number: | 9042785088 |
Business Fax Number: | 9042644910 |
Mailing Address: | 11945 San Jose Blvd, Bldg 300 JACKSONVILLE |
State: | FL |
Postal Code: | 322231627 |
Phone Number: | 9043961725 |
Fax Number: | 9043991717 |
NPI Enumeration Date: | 11/16/2005 |
NPI Last Update Date: | 08/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 17275 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |