Individual
BRIAN B FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14055 RIVEREDGE DR, STE 250, TAMPA, FL 33637-2141
(813) 929-5451
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-2832
(772) 223-5665
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
PA9109238
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9109238
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016688700
—
FL
01
—
ROEQZ
FLORIDA BLUE
FL
Enumeration date
06/18/2012
Last updated
09/19/2025
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