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General NPI Number Information
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NPI Number | 1356655963
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Entity Type | Organization
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Legal Business Name | BRINK SURGICAL VISION INSTITUTE, P.A.
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Dates
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Enumeration Date | 08/06/2010
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 3355 BURNS RD STE 205
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4356
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Country | US
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Telephone | 561-626-5600
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Fax | 561-626-8524
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Provider Business Mailing Address
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Address Line | 3355 BURNS RD STE 205
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4356
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Country | US
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Telephone | 561-626-5600
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Fax | 561-626-8524
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Authorized Official
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Title or Position | OWNER
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Name | MATTHEW JAMES ANTONY BRINK
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Credential | MD
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Telephone | 561-626-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number | ME43505
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License Number State | FL
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