Provider Demographics
NPI:1437634839
Name:FOSTER, ERIC (ARNP)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:FOSTER
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 CURRY FORD RD
Mailing Address - Street 2:STE 106
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-3353
Mailing Address - Country:US
Mailing Address - Phone:865-964-0235
Mailing Address - Fax:
Practice Address - Street 1:2901 CURRY FORD RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-3300
Practice Address - Country:US
Practice Address - Phone:407-203-5984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-02
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9378751363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily