Individual
DR. KELLY FABREGA-FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-7229
(813) 844-7871
Mailing address
2330 UTAH AVE STE 200, EL SEGUNDO, CA 90245-4817
(813) 253-2721
(813) 977-3720
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME132558
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020977700
—
FL
Enumeration date
05/16/2011
Last updated
01/29/2025
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