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NPI Code Detail

MEDICARE: LOURDES Q FORSTER MD

MEDICARE: LOURDES Q FORSTER MD
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
1208000000XPediatrics PhysicianME70552FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548223522
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOURDES Q FORSTER MD
Provider Business Mailing Address
First Line : 1475 NW 12TH AVE
Second Line : BOX 016960 M851
City : MIAMI
State : FL
Zip : 33136-1002
Country : US
Telephone Number : 305-243-7249
Fax Number : 305-243-8470
Provider Business Practice Location Address
First Line : 1150 NW 14TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33136-2137
Country : US
Telephone Number : 305-270-5050
Fax Number : 305-270-3846
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2006
Last Update Date : 01/28/2022

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Directions to “ LOURDES Q FORSTER MD” Practice Location

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