Individual
JOHN D FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1908 SEMINOLE RD, ATLANTIC BEACH, FL 32233-5918
(904) 246-8134
(904) 241-6521
Mailing address
1908 SEMINOLE RD, ATLANTIC BEACH, FL 32233-5918
(904) 294-5353
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME0042368
FL
208D00000X
General Practice Physician
Primary
ME0042368
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069197600
—
FL
01
—
15909
BCBS
FL
01
—
930067968
RAILROAD MEDICARE
FL
Enumeration date
05/25/2006
Last updated
08/09/2022
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