Provider Demographics
NPI:1437185691
Name:FORSTER, ANDREW JAMES (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:JAMES
Last Name:FORSTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1691 MICHIGAN AVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-2520
Mailing Address - Country:US
Mailing Address - Phone:786-595-8220
Mailing Address - Fax:786-533-9466
Practice Address - Street 1:1691 MICHIGAN AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2520
Practice Address - Country:US
Practice Address - Phone:786-595-8220
Practice Address - Fax:786-533-9466
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME68200207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL378660900Medicaid
FL27876VMedicare PIN
FL378660900Medicaid