Jerry N. Shuster, Md in Maitland - Specialist
Jerry N. Shuster, Md - NPI 1770665051
Jerry N. Shuster, Md is a Specialist in Maitland, Florida. Jerry N. Shuster, Md practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jerry N. Shuster, Md is 1770665051. The last update date is 2012-01-17.
Jerry N. Shuster, Md's current location address is 790 Concourse Pkwy S, Maitland, Florida. You can contact this provider via phone number 4077676411. The mailing address for Jerry N. Shuster, Md is 790 Concourse Pkwy S, Maitland, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Jerry N. Shuster, Md |
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Address | 790 Concourse Pkwy S, Maitland, Florida |
Phone Number | 4077676411 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OPHTHALMOL |
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Authorized Official Name | Shuster N Jerry |
Credentials | MD, MBA |
Telephone Number | 4077676411 |
NPI Number Detail
NPI Number | 1770665051 |
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Provider Enumeration Date | 2006-10-19 |
Last Updated Date | 2012-01-17 |
Provider Mailing Address Detail
Address | 790 Concourse Pkwy S |
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City | Maitland |
State | Florida (FL) |
Post Code | 327516114 |
Phone Number | 4077676411 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 35948 |
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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
67967400 | FL | -- |
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What is the unique 10-digit identification code assigned to Jerry N. Shuster, Md by the Centers for Medicare & Medicaid Services?
The Jerry N. Shuster, Md has been issued the NPI (National Provider Identifier) 1770665051, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jerry N. Shuster, Md located?
The Jerry N. Shuster, Md is located at 790 Concourse Pkwy S, Maitland, FL 327516114.
What is the Jerry N. Shuster, Md's specialty and taxonomy code?
The Jerry N. Shuster, Md's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When did Jerry N. Shuster, Md receive its 1770665051 assignment?
The Jerry N. Shuster, Md was assigned its 1770665051 on 2006-10-19, which is the date when this unique identifier was issued to the organization.
When was the Jerry N. Shuster, Md's information last updated?
The Jerry N. Shuster, Md's information was last updated on 2012-01-17.