Shuster, Jerry N

Shuster, Jerry N is an individual health care provider with primary practice located at 790 Concourse Pkwy S Suite 200, Maitland FL 32751. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Glaucoma Specialist is his primary health care specialty. Shuster, Jerry N can be contacted via phone (407) 767-6411.

Contact Information

Primary practice address
790 Concourse Pkwy S Suite 200 Maitland FL 32751
Phone: (407) 767-6411
Fax: (407) 767-8160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME35948 Florida
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X ME35948 Florida

Profile Details

NPI number 1124245386
LBN Legal business name Shuster, Jerry N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Dec 5th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124245386 NPPES
Florida MEDICAID 067967400

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