Individual
GREGORY RUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5409 PAPER MILL RD, LAKE WORTH, FL 33463-6770
(561) 292-0806
Mailing address
461 SCHOFIELD DR, POWDER SPRINGS, GA 30127-4369
(954) 520-4033
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
FL
3747A0650X
Attendant Care Provider
Primary
—
FL
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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