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Individual

MRS. SANDRIA JOAN FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3343 ATMORE TER, OCOEE, FL 34761-4442
(407) 205-5510
(407) 703-4451
Mailing address
1746 E SILVER STAR RD, SUITE 243, OCOEE, FL 34761-7014
(407) 802-6766
(407) 362-1761

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1136932
FL
163WG0600X
Gerontology Registered Nurse
1136932
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
11001462
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
692190696 96
FL
05
692190696 98
FL
Enumeration date
01/11/2012
Last updated
06/26/2021
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