Provider Demographics
NPI:1134301799
Name:FOSTER, SCOTT STUART
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:STUART
Last Name:FOSTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-6930
Mailing Address - Country:US
Mailing Address - Phone:954-925-7333
Mailing Address - Fax:954-925-7339
Practice Address - Street 1:2030 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6930
Practice Address - Country:US
Practice Address - Phone:954-925-7333
Practice Address - Fax:954-925-7339
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0003475111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor