MEDICARE: DR. SCOTT S. FOSTER P.A.

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

Other Identifiers

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

General Provider Information

NPI Number	:	1568543403
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. SCOTT S. FOSTER P.A.

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

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	:	OWNER
Name	:	SCOTT FOSTER
Credential	:
Telephone Number	:	954-925-7333

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	11/12/2007

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