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Contact Information

PETER A RUST, PA-C
3360 COUNTY ROAD 220
MIDDLEBURG, FL32068
 Phone: 904-291-2221
 Fax: 904-291-2261
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PETER A RUST · (Male)

NPI Number 1477690956
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/31/2007
Last updated 12/11/2015 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA9102776
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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