MEDICARE: KEISHA 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	376J00000X	Homemaker	241432	FL

General Provider Information

NPI Number	:	1427904457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEISHA FOSTER

Provider Business Mailing Address
First Line	:	405 CRESTRUN LOOP
Second Line	:
City	:	LEESBURG
State	:	FL
Zip	:	34748-6156
Country	:	US
Telephone Number	:	352-361-3652
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 CRESTRUN LOOP
Second Line	:
City	:	LEESBURG
State	:	FL
Zip	:	34748-6156
Country	:	US
Telephone Number	:	352-361-3652
Fax Number	:

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

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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Directions to “ KEISHA FOSTER ” Practice Location

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