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Individual
DR. LARRY D FOSTER
Active
Individual
DR. LARRY D FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME45638
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02926
BCBS
FL
01
—
593516436
MEDICAL MUTUAL
—
01
—
593516436003
TRICARE
—
01
—
695956
TUFTS
—
01
—
7194953
MAMSI
—
01
—
773114
MAILHANDLERS
—
01
—
P00397535
RR GBA MEDICARE
—
Enumeration date
06/28/2005
Last updated
12/07/2016
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