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Organization
PST FLORIDA 2009 LLC
Active
Organization
PST FLORIDA 2009 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL GRISCHKAN (CEO)
(216) 896-9301
Entity
Organization
Contact information
Practice address
3300 SW 34TH AVE, SUITE 116, OCALA, FL 34474-7448
(877) 896-9301
Mailing address
3300 SW 34TH AVE, SUITE 116, OCALA, FL 34474-7448
(877) 896-9301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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