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Jacksonville Aristo ER, LLC

Details

Name: Jacksonville Aristo ER, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 20 Oct 2015 (9 years ago)
Entity Number: 000-347-378
Register Number: 000347378
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 624 28TH STREET NORTHBIRMINGHAM, AL 35203
Registered Office Street Address ZIP Code: 35203

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316312028 2015-12-07 2015-12-07 PO BOX 830525, DEPT# SF54, BIRMINGHAM, AL, 352830525, US 1701 PELHAM RD S, JACKSONVILLE, AL, 362653353, US

Contacts

Phone +1 256-435-4970
Fax 2053135298

Authorized person

Name MR. CHARLES RICH STREET JR.
Role CEO/OWNER
Phone 2053135202

Taxonomy

Taxonomy Code 207P00000X - Emergency Medicine Physician
Is Primary Yes

Organizer

Name Role Address
HARWOOD, JUDD A Organizer 1819 FIFTH AVENUE NORTHBIRMINGHAM, AL 35203

Agent

Name Role
STREET, RICHARD C JR Agent

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State