MEDICARE: VONOSTIR INNOVATION SERVICES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103T00000X	Psychologist
2	103TC0700X	Clinical Psychologist
3	104100000X	Social Worker
4	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1720858319
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VONOSTIR INNOVATION SERVICES PLLC

Provider Business Mailing Address
First Line	:	7511 LEROY DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-1626
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7511 LEROY DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-1626
Country	:	US
Telephone Number	:	904-290-4601
Fax Number	:	251-517-7027

Authorized Official
Title or Position	:	OWNER/PRESIDENT AND CEO
Name	:	MR. KURT WILHELM OSTER
Credential	:	LICSW-S, LCSW-S, BCD
Telephone Number	:	904-290-4601

Provider Enumeration Date	:	01/04/2024
Last Update Date	:	12/10/2025

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Directions to “VONOSTIR INNOVATION SERVICES PLLC ” Practice Location

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