Foster, Thomas R

Foster, Thomas R is an individual health care provider with primary practice located at 709 S Harbor City Blvd Suite 100, Melbourne FL 32901-1938. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Foster, Thomas R can be contacted via phone (321) 722-0423.

Contact Information

Primary practice address
709 S Harbor City Blvd Suite 100 Melbourne FL 32901-1938
Phone: (321) 722-0423
Fax: (866) 747-3794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME57257 Florida

Profile Details

NPI number 1275521163
LBN Legal business name Foster, Thomas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Dec 30th, 2014 - about 10 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 1275521163 NPPES
Florida Other P01256296 RR MEDICARE
Florida Other 10315 RR MEDICARE
Florida MEDICAID 063915000 RR MEDICARE
Florida Other 300137587 RR MEDICARE

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