Individual
DR. TISHA FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3200 LAKELAND HILLS BLVD, LAKELAND, FL 33805-2271
(863) 687-8925
Mailing address
300 MAGNETA LOOP, AUBURNDALE, FL 33823-9790
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
95945
FL
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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