MICHAEL ERIC BRISTOW (NPI# 1003312539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003312539 |
| Entity Type | Individual |
| Full Name | MICHAEL ERIC BRISTOW |
| Credential | ARNP |
| Practice Address |
11481 Old Saint Augustine Rd Ste 303 Jacksonville FL 32258-1476 |
| Mailing Address |
5150 Belfort Rd Bldg 400 Jacksonville FL 32256-6026 |
| Practice Telephone | 9045804730 |
| Practice Fax Number | 9045804740 |
| Mailing Telephone | 9045804730 |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2020-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
3200922 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306180609 | Michael Bristow | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive, S-072, Stanford School of Medicine - Dept of Radiology, Cvi, Stanford, CA 94305-5105 | 2012-11-27 |
| 1538259213 | Michael R. Bristow | Internal Medicine | 4200 E 9th Ave, Denver, CO 80262-0001 | 2006-10-13 |
| 1134109648 | Michael L Bristow | Family Medicine | 610 30th Ave W, Alexandria Clinic, Alexandria, MN 56308 | 2006-01-19 |
| Street Address |
11481 OLD SAINT AUGUSTINE RD STE 303 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32258-1476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
| 1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
| 1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
| 1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
| 1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
| 1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
| 1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
| 1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
| Find all providers in zip 32258 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265081517 | Patsy Taylor | Nurse Practitioner | 8518 Julia Marie Cir, Jacksonville, FL 32210-0412 | 2019-09-10 |
| 1801449624 | Jamie Lea Laakmann | Nurse Practitioner | 14890 Bartram Creek Blvd, Jacksonville, FL 32259-7044 | 2019-07-21 |
| 1982159190 | Dena Alexander | Nurse Practitioner | 12015 Stacy Scott Ct, Jacksonville, FL 32223-0780 | 2016-08-17 |
| 1871820159 | Kay Frances Fullwood | Nurse Practitioner | 2345 Luana Dr E, Jacksonville, FL 32246-9561 | 2009-11-08 |
| 1023048147 | Laura J Rowe | Nurse Practitioner | 3599 University Blvd. South, Jacksonville, FL 32216 | 2006-07-04 |
| 1871581660 | Lolita Condino Massengill | Nurse Practitioner | 6665 Banbury Road, Jacksonville, FL 32211 | 2005-10-06 |
| 1114926037 | Andrea H Clayman | Nurse Practitioner | 11812 Crusselle Dr, Jacksonville, FL 32223-0876 | 2005-07-21 |
| 1467088724 | Mary Joy Castro Whitmire | Nurse Practitioner | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-03-19 |
| 1386120087 | Heidi Diane Brown | Nurse Practitioner | 915 W Monroe St Ste 200, Jacksonville, FL 32204-1177 | 2018-07-16 |
| 1265974059 | Iulia Gabriela Simon | Nurse Practitioner | 6444 Beach Blvd, Jacksonville, FL 32216-2891 | 2016-11-09 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32258 |
Please comment or provide details below to improve the information on MICHAEL ERIC BRISTOW.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.