Provider Demographics
NPI:1326635400
Name:PULMONARY SERVICES CONSULTANTS PR
Entity Type:Organization
Organization Name:PULMONARY SERVICES CONSULTANTS PR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:ESCOBAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-427-6590
Mailing Address - Street 1:8359 SE 12TH CT
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34480-9316
Mailing Address - Country:US
Mailing Address - Phone:352-427-6590
Mailing Address - Fax:
Practice Address - Street 1:8359 SE 12TH CT
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34480-9316
Practice Address - Country:US
Practice Address - Phone:352-427-6590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center