MEDICARE: DR. SCOTT STUART FOSTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH0003475	FL

General Provider Information

NPI Number	:	1134301799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT STUART FOSTER

Provider Business Mailing Address
First Line	:	2030 WASHINGTON ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-6930
Country	:	US
Telephone Number	:	954-925-7333
Fax Number	:	954-925-7339

Provider Business Practice Location Address
First Line	:	2030 WASHINGTON ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-6930
Country	:	US
Telephone Number	:	954-925-7333
Fax Number	:	954-925-7339

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2007
Last Update Date	:	12/05/2007

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Directions to “ DR. SCOTT STUART FOSTER ” Practice Location

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