Provider Demographics
NPI:1720578016
Name:FOSTER, ROBERT ARRIES (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:ARRIES
Last Name:FOSTER
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 1:199 AVENUE B NW STE 310
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881-4546
Mailing Address - Country:US
Mailing Address - Phone:863-292-4124
Mailing Address - Fax:863-229-7568
Practice Address - Street 1:199 AVENUE B NW STE 310
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881-4546
Practice Address - Country:US
Practice Address - Phone:863-292-4124
Practice Address - Fax:863-229-7568
Is Sole Proprietor?:No
Enumeration Date:2018-05-13
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301114880390200000X
FLME161075208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program