Jerry N. Shuster, Md

LBN: Jerry N. Shuster, Md
Jerry N. Shuster, Md is an health care organization with primary practice located at 790 Concourse Pkwy S Suite 200, Maitland FL 32751-6114. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Jerry N. Shuster, Md can be contacted via phone (407) 767-6411, or through Shuster, Jerry N via phone (407) 767-6411.

Contact Information

Primary practice address
790 Concourse Pkwy S Suite 200 Maitland FL 32751-6114
Phone: (407) 767-6411
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shuster, Jerry N MD, MBA
Phone: (407) 767-6411

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35948 Florida

Profile Details

NPI number 1770665051
LBN Legal business name Jerry N. Shuster, Md
DBA Doing business as
Authorized official Shuster, Jerry N MD, MBA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2006
Last updated Jan 17th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770665051 NPPES
Florida MEDICAID 067967400

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