Organization
FOSTER MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD E TAYLOR (PRESIDENT)
(727) 534-7212
Entity
Organization
Contact information
Practice address
3911 SW 47TH AVE, SUITE 911, DAVIE, FL 33314-2818
(954) 327-0196
(954) 327-0128
Mailing address
3911 SW 47TH AVE, SUITE 911, DAVIE, FL 33314-2818
(954) 327-0196
(954) 327-0128
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1421
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111530400
—
FL
01
—
R8446
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/08/2006
Last updated
07/11/2024
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