Pst Florida 2009 LLC

NPI #1134423072 in Ocala, Florida

Provider Information

NPI Number: 1134423072
Entity Type: Organization
Organization Name: Pst Florida 2009 LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jan 7, 2011
Last Updated: Jan 7, 2011

Practice Location

Address: 3300 SW 34TH AVE
Address 2: SUITE 116
City: Ocala
State: Florida
ZIP Code: 34474-7448
Phone: (877) 896-9301

Authorized Official

Name: MR. MICHAEL GRISCHKAN
Title: CEO
Phone: (216) 896-9301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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