Individual
SCOTT WILLIAM FOSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-1307
(352) 594-1942
(352) 594-1926
Mailing address
1600 SW ARCHER RD BOX 100279, GAINESVILLE, FL 32610-1865
(352) 594-1942
(352) 594-1926
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2020-00017
NC
207N00000X
Dermatology Physician
63118
AZ
207N00000X
Dermatology Physician
ME125681
FL
207ND0101X
MOHS-Micrographic Surgery Physician
2020-00017
NC
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME125681
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016190200
—
FL
Enumeration date
07/16/2006
Last updated
01/19/2023
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