| Doctor Name: | DR. STUART BRUCE KROST |
| NPI Number: | 1831143312 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | ME0061951 |
| Business Practice Address: | 3618 Lantana Rd St. #201 Lake Worth, FL - 334622246 |
| Business Phone Number: | 5612962221 |
| Business Fax Number: | 5612962221 |
| Mailing Address: | 10394 La Reina Rd, DELRAY BEACH |
| State: | FL |
| Postal Code: | 334462723 |
| Phone Number: | 5614963743 |
| Fax Number: | |
| NPI Enumeration Date: | 05/20/2006 |
| NPI Last Update Date: | 09/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | ME0061951 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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. |