MEDICARE: ROBERT ARRIES FOSTER 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
1	390200000X	Student in an Organized Health Care Education/Training Program	4301114880	MI
2	208600000X	Surgery Physician	ME161075	FL

General Provider Information

NPI Number	:	1720578016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT ARRIES FOSTER MD

Provider Business Mailing Address
First Line	:	199 AVENUE B NW STE 310
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-4546
Country	:	US
Telephone Number	:	863-292-4124
Fax Number	:	863-229-7568

Provider Business Practice Location Address
First Line	:	199 AVENUE B NW STE 310
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-4546
Country	:	US
Telephone Number	:	863-292-4124
Fax Number	:	863-229-7568

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

Provider Enumeration Date	:	05/13/2018
Last Update Date	:	05/23/2023

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