Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | ME133012 | FL |
Y | 208600000X | Surgeon | ME133012 | FL |
N | 2082S0105X | Plastic Hand Surgeon | 37082 | KY |
NPI | 1902861867 |
---|---|
Provider Name | Brian Rinker |
First Address | Jacksonville, FL 32224-1865 |
Second Address | Jacksonville, FL 32224 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 31/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64052871 | (05) | KY |
H62505 | (02) |