Bristol PLC LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BRISTOL PLC LLC

Practice address

3479 54TH Ave N
St Petersburg, FL 33714-2426

Phone

(727) 520-8888

NPI assigned

Nov 20, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert Edward Petras Jr.

Title

Co-Owner/Coo

Phone

(260) 797-9482

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1386158806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 ILLINOIS RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042062",
            "telephone_number": "260-797-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3479 54TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337142426",
            "telephone_number": "727-520-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL PLC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "PETRAS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CO-OWNER/COO",
        "authorized_official_telephone_number": "260-797-9482",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James A Brimm, PMHNP
• Brimothy, LLC
• Melissa C Brinn, M.D.
• Sarah Ann Peck Briscoe, PA-C
• Bristol Court Alf BSLC
• Deyon Bristol
• Felicia Laverne Bristol
• Lisa Marie Bristol, PHARM.D.
• Yudianela Caridad Brito Garcia
• Camilla P Brito, PA-C

• Assisted Living Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.