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
Address 790 Concourse Pkwy S, Maitland, Florida
Phone Number 4077676411
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OPHTHALMOL
Authorized Official Name Shuster N Jerry
Credentials MD, MBA
Telephone Number 4077676411

NPI Number Detail

NPI Number 1770665051
Provider Enumeration Date 2006-10-19
Last Updated Date 2012-01-17

Provider Mailing Address Detail

Address 790 Concourse Pkwy S
City Maitland
State Florida (FL)
Post Code 327516114
Phone Number 4077676411
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
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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FAQs about Jerry N. Shuster, Md

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.

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