| NPI | 1558557520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART B KROST Owner 561-296-2220 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL ME61951) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9103862) |
| 363AM0700X Physician Assistant, Medical (Licence: FL PA9103888) | |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2011-12-02 |