Foster, Brian B

Foster, Brian B is an individual health care provider with primary practice located at 509 Se Riverside Dr Suite 203, Stuart FL 34994-2579. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Foster, Brian B can be contacted via phone (772) 288-5862.

Contact Information

Primary practice address
509 Se Riverside Dr Suite 203 Stuart FL 34994-2579
Phone: (772) 288-5862
Fax: (772) 288-5874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9109238 Florida

Profile Details

NPI number 1083977805
LBN Legal business name Foster, Brian B
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2012
Last updated May 24th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083977805 NPPES
Florida Other ROEQZ FLORIDA BLUE
Florida MEDICAID 016688700 FLORIDA BLUE

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