Provider Demographics
NPI:1831143312
Name:KROST, STUART BRUCE (MD)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:BRUCE
Last Name:KROST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:STUART
Other - Middle Name:B
Other - Last Name:KROST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:10394 LA REINA RD
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-2723
Mailing Address - Country:US
Mailing Address - Phone:561-376-6001
Mailing Address - Fax:
Practice Address - Street 1:2290 10TH AVE N STE 201
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-6609
Practice Address - Country:US
Practice Address - Phone:561-296-2220
Practice Address - Fax:561-296-2221
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00619512081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14950Medicare ID - Type Unspecified
FLF20556Medicare UPIN