MEDICARE: DR. K WADE FOSTER MD, PA

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	207ND0101X	MOHS-Micrographic Surgery Physician	A98634	CA
2	207ND0101X	MOHS-Micrographic Surgery Physician	MD433747	PA
3	207ND0101X	MOHS-Micrographic Surgery Physician	26365	AL
4	207ND0101X	MOHS-Micrographic Surgery Physician	ME 100760	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	:	1669449047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. K WADE FOSTER MD, PA

Provider Business Mailing Address
First Line	:	2502 SAND MINE RD
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33897-3402
Country	:	US
Telephone Number	:	855-353-7546
Fax Number	:	863-294-2767

Provider Business Practice Location Address
First Line	:	2502 SAND MINE RD
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33897-3402
Country	:	US
Telephone Number	:	855-353-7546
Fax Number	:	863-294-2767

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

Provider Enumeration Date	:	03/03/2006
Last Update Date	:	04/06/2020

Similar Medicare Providers

1740273713 — EIMAN ELSAYED MD
Practice Location Address:

2516 SAND MINE RD
DAVENPORT, FL
33897-3402

Practice Phone: 863-232-5527
Practice Fax: 863-438-2776

1679568133 — DR. VIDYASAGAR REDDY VANGALA M.D.
Practice Location Address:

2504 SAND MINE RD
DAVENPORT, FL
33897-3402

Practice Phone: 863-419-7645
Practice Fax: 863-419-7655

1376599472 — MID-FLORIDA PSYCHIATRY CENTER PL
Practice Location Address:

2504 SAND MINE RD
DAVENPORT, FL
33897-3402

Practice Phone: 863-419-7645
Practice Fax:

1285664250 — MARK GRIFFO M.D.
Practice Location Address:

2506 SAND MINE RD
DAVENPORT, FL
33897-3402

Practice Phone: 863-424-4321
Practice Fax: 863-424-3007

1982622379 — TRUDI GRIFFO M.D.
Practice Location Address:

2506 SAND MINE RD
DAVENPORT, FL
33897-3402

Practice Phone: 863-424-4321
Practice Fax:

1801900451 — DANIEL R. RENUART, MD, PA
Practice Location Address:

2506 SAND MINE RD
DAVENPORT, FL
33897-3402

Practice Phone: 863-424-8966
Practice Fax: 863-424-8825

Directions to “ DR. K WADE FOSTER MD, PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.