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Organization
STUART B. KROST M.D. P.A.
Active
Organization
STUART B. KROST M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART B KROST M.D. (OWNER)
(561) 296-2220
Entity
Organization
Contact information
Practice address
3615 CENTRAL AVE, SUITE 3, FORT MYERS, FL 33901-8257
(239) 278-3335
(239) 278-3336
Mailing address
3618 LANTANA RD, SUITE 201, LAKE WORTH, FL 33462-2246
(561) 296-2220
(561) 296-2221
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME20556
FL
363AM0700X
Medical Physician Assistant
PA9103862
FL
363AM0700X
Medical Physician Assistant
PA9103888
FL
Other
Enumeration date
12/15/2008
Last updated
12/02/2011
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