MEDICARE: MR. ANDREW JOHN BRINSKO PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	146L00000X	Paramedic	PMD530866	FL
2	363A00000X	Physician Assistant	PA9114731	FL
3	363AS0400X	Surgical Physician Assistant	PA9114731	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134795388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANDREW JOHN BRINSKO PA-C

Provider Business Mailing Address
First Line	:	PO BOX 28432
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-2036
Country	:	US
Telephone Number	:	904-634-0640
Fax Number	:	904-634-0203

Provider Business Practice Location Address
First Line	:	10475 CENTURION PKWY N STE 220
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-5004
Country	:	US
Telephone Number	:	904-634-0640
Fax Number	:	904-634-0203

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2021
Last Update Date	:	03/10/2026

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Directions to “ MR. ANDREW JOHN BRINSKO PA-C” Practice Location

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