Individual
MICHAEL D FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1426 40TH ST S, ST PETERSBURG, FL 33711-2555
(727) 417-2501
Mailing address
1426 40TH ST S, ST PETERSBURG, FL 33711-2555
(727) 417-2501
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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