Individual
MICHAEL ERIC BRISTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
11481 OLD SAINT AUGUSTINE RD STE 303, JACKSONVILLE, FL 32258-1476
(904) 580-4730
(904) 580-4740
Mailing address
5150 BELFORT RD, BLDG 400, JACKSONVILLE, FL 32256-6026
(904) 580-4730
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
3200922
FL
Other
Enumeration date
04/03/2018
Last updated
06/02/2020
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