Organization
HARBOR CITY MEDICAL IMAGING PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS R FOSTER MD (PRESIDENT)
(321) 722-0423
Entity
Organization
Contact information
Practice address
1920 S BABCOCK ST, MELBOURNE, FL 32901-4445
(321) 722-0423
(866) 747-3794
Mailing address
1920 S BABCOCK ST, MELBOURNE, FL 32901-4445
(321) 722-0423
(866) 747-3794
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266996000
—
FL
05
—
266996001
—
FL
05
—
266996002
—
FL
01
—
34784
BCBS
FL
01
—
DA0119
GROUP RR MEDICARE
FL
Enumeration date
10/13/2005
Last updated
07/21/2022
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