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Organization

STUART B. KROST M.D.P.A.

Active
Parent organization
STUART B. KROST M.D.P.A.
Organization subpart
Yes

Provider details

NPI number
Legal business name
STUART B. KROST M.D.P.A.
Authorized official
STUART B KROST M.D. (OWNER)
(561) 296-2220
Entity
Organization

Contact information

Practice address
7300 NW 5TH ST, PLANTATION, FL 33317-1605
(954) 332-6720
(954) 332-6725
Mailing address
3618 LANTANA RD, SUITE 201, LAKE WORTH, FL 33462-2246
(561) 296-2220
(561) 296-1022

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
661951
FL
363AM0700X
Medical Physician Assistant
PA9103862
FL
363AM0700X
Medical Physician Assistant
PA9103888
FL

Other

Enumeration date
09/24/2007
Last updated
12/02/2011
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