Provider Demographics
NPI:1104106715
Name:TRINKLE, JONATHAN P
Entity type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:P
Last Name:TRINKLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 STATE ROAD 13
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32259-2837
Mailing Address - Country:US
Mailing Address - Phone:904-230-4696
Mailing Address - Fax:
Practice Address - Street 1:390 STATE ROAD 13
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32259-2837
Practice Address - Country:US
Practice Address - Phone:904-230-4696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0031912183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist