Provider Demographics
NPI:1598128829
Name:BRINK, MATTHEW JAMES ANTONY (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:JAMES ANTONY
Last Name:BRINK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:155 OCEAN AVE APT 505
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33404-5790
Mailing Address - Country:US
Mailing Address - Phone:786-575-5387
Mailing Address - Fax:
Practice Address - Street 1:3502 KYOTO GARDENS DR STE B
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-2899
Practice Address - Country:US
Practice Address - Phone:561-630-7120
Practice Address - Fax:561-630-7122
Is Sole Proprietor?:No
Enumeration Date:2016-04-04
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL148841207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology