Organization
K WADE FOSTER MD PA
Active
Other names
FLORIDA DERMATOLOGY & SKIN CANCER CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MCCARRELL (PRACTICE ADMIN)
(863) 293-2147
Entity
Organization
Contact information
Practice address
1450 6TH ST SE, WINTER HAVEN, FL 33880
(863) 293-2147
(863) 294-2767
Mailing address
1450 6TH ST SE, WINTER HAVEN, FL 33880-4505
(863) 293-2147
(863) 294-2767
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
07/22/2009
Last updated
04/06/2020
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