Organization
JACKSONVILLE ARISTO ER, LLC
Active
Parent organization
ARISTO ER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARISTO ER
Authorized official
MR. CHARLES RICH STREET JR. (CEO/OWNER)
(205) 313-5202
Entity
Organization
Contact information
Practice address
1701 PELHAM RD S, JACKSONVILLE, AL 36265-3353
(256) 435-4970
(205) 313-5298
Mailing address
PO BOX 830525, DEPT# SF54, BIRMINGHAM, AL 35283-0525
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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