Medical school: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated: 2021
NPI: 1740861640
Practice Locations (2)
RUSSELL STACKHOUSE MD PA
6 S 14TH ST
FERNANDINA, FL 320343212
9042615741134
DR. TED BRINK AND ASSOCIATES PA
10300 SOUTHSIDE BLVD, SUITE 238
JACKSONVILLE, FL 322560743
9043638282
Source: CMS National Downloadable File, September 2026.