Organization
FOSTER WOMEN'S CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA SPERRAZZA (MEDICAL BILLER)
(321) 952-9500
Entity
Organization
Contact information
Practice address
1318 S PINE ST, MELBOURNE, FL 32901-3117
(321) 952-9500
(321) 952-2299
Mailing address
1318 S PINE ST, MELBOURNE, FL 32901-3117
(321) 952-9500
(321) 952-2299
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME78114
FL
207VG0400X
Gynecology Physician
OS6956
FL
Other
Enumeration date
09/08/2005
Last updated
09/17/2008
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