Individual
DR. THOMAS R FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
709 S HARBOR CITY BLVD, SUITE 100, MELBOURNE, FL 32901-1938
(321) 722-0423
(866) 747-3794
Mailing address
709 S HARBOR CITY BLVD, SUITE 100, MELBOURNE, FL 32901-1938
(321) 722-0423
(866) 747-3794
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME57257
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063915000
—
FL
01
—
10315
BCBS
FL
01
—
300137587
RR MEDCARE
FL
01
—
P01256296
RR MEDICARE
FL
Enumeration date
10/13/2005
Last updated
12/30/2014
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