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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 MD (OWNER)
(561) 296-2220
Entity
Organization
Contact information
Practice address
1903 S.E. PORT ST. LUCIE BLVD, PORT ST. LUCIE, FL 34952
(561) 296-2220
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
ME0061951
FL
363AM0700X
Medical Physician Assistant
PA9103862
FL
363AM0700X
Medical Physician Assistant
PA9103888
FL
Other
Enumeration date
07/14/2011
Last updated
11/17/2011
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