Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | ME56089 | FL |
NPI | 1013907021 |
---|---|
Provider Name | Dr. Laura Foster |
First Address | Hollywood, FL 33081-0759 |
Second Address | Miami Beach, FL 33140-2800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E73091 | (02) |