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Organization
TIMOTHY FOSTER PH D LLC
Active
Organization
TIMOTHY FOSTER PH D LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY FOSTER PHD. (OWNER)
(813) 385-3794
Entity
Organization
Contact information
Practice address
30 N RING AVE, #200, TARPON SPRINGS, FL 34689-4224
(813) 784-0247
Mailing address
30 N RING AVE, #200, TARPON SPRINGS, FL 34689-4224
(813) 784-0247
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PY2203
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73592
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/26/2006
Last updated
11/12/2009
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