Provider Demographics
NPI:1457469785
Name:FOSTER, JOHN WINSTON (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WINSTON
Last Name:FOSTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:180 SW 84 AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324
Mailing Address - Country:US
Mailing Address - Phone:954-473-0089
Mailing Address - Fax:954-473-2067
Practice Address - Street 1:180 SW 84 AVE
Practice Address - Street 2:SUITE B
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324
Practice Address - Country:US
Practice Address - Phone:954-473-0089
Practice Address - Fax:954-473-2067
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0037216207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine