Foster, Larry D

Foster, Larry D is an individual health care provider with primary practice located at 802 E Dixie Ave , Leesburg FL 34748-6014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Foster, Larry D can be contacted via phone (352) 787-1324.

Contact Information

Primary practice address
802 E Dixie Ave Leesburg FL 34748-6014
Phone: (352) 787-1324
Fax: (352) 365-1003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME45638 Florida

Profile Details

NPI number 1477559060
LBN Legal business name Foster, Larry D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Dec 7th, 2016 - about 8 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 1477559060 NPPES
Other 695956 TUFTS
Other 02926 TUFTS
Other 593516436003 TUFTS
Other P00397535 TUFTS
Other 773114 TUFTS
Other 593516436 TUFTS
Other 7194953 TUFTS

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