Lustgarten, Michael Emory
Lustgarten, Michael Emory is an sole proprietor health care provider with primary practice located at 834 E Ocean Blvd , Stuart FL 34994-2428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Lustgarten, Michael Emory can be contacted via phone (772) 286-2950.Contact Information
Primary practice address
834 E Ocean Blvd
Stuart FL 34994-2428
Phone: (772) 286-2950
Fax: (772) 286-2339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME0036091 | Florida |
Profile Details
| NPI number | 1376525501 |
|---|---|
| LBN Legal business name | Lustgarten, Michael Emory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Oct 21st, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376525501 | NPPES |
| Florida | MEDICAID | 065662300 | |
| Florida | Other | 340000180 |
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