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STUART B KROST MD PA NPI 1295922573


NPI Information

NPI: 1295922573
Provider Name: STUART B KROST MD PA
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 10D1075523

Address:
3618 LANTANA RD
201
LAKE WORTH, FL
ZIP 33462
Phone: (561) 296-2220
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STUART B KROST MD PA is a specialist in Lake Worth, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. STUART B KROST MD PA NPI is 1295922573. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3618 LANTANA RD
201
LAKE WORTH, FL
ZIP 33462-246
Phone: (561) 296-2220
Fax: (561) 296-1022

The provider's authorized official is Stuart B Krost .
The authorized official title is Owner and has the following contact phone number (561) 296-2220.

The CLIA number assigned to this NPI record is 10D1075523 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2007 and was last updated on 12/2/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA9103862FLORIDANo
2363AM0700XPhysician AssistantMedicalPA9103888FLORIDANo
3174400000XSpecialistME6195FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F20556MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.