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Individual

DR. GARY ALAN KROSIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2912 SW TRAILSIDE PATH, STUART, FL 34997-9013
(772) 285-7799
(772) 264-4602
Mailing address
2912 SW TRAILSIDE PATH, STUART, FL 34997-9012
(772) 285-7799
(772) 264-4602

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
37516
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME37516
MEDICAL LICENSE NUMBER
FL
Enumeration date
12/06/2006
Last updated
07/08/2007
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