| NPI | 1326635400 |
|---|---|
| Doing Business As | PSCPR |
| Entity Type | Organization |
| Authorized Contact | ANDREW STUART ESCOBAR President 352-427-6590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2020-12-23 |