| Organization Name: | STUART B. KROST M.D.P.A. |
| NPI Number: | 1922396761 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STUART B KROST (OWNER) |
| Mailing Address: | 1903 S.e. Port St. Lucie Blvd Port St. Lucie |
| State: | FL US |
| Postal Code: | 34952 |
| Phone Number: | 5612962220 |
| Fax Number: | |
| NPI Enumeration Date: | 07/14/2011 |
| NPI Last Update Date: | 11/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA9103862 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |