K Wade Foster MD PA
NPI #1205066404 in Winter Haven, Florida
Provider Information
- NPI Number
- 1205066404
- Entity Type
- Organization
- Organization Name
- K Wade Foster MD PA
- Primary Specialty
- Dermatology - MOHS-Micrographic Surgery
- Enumeration Date
- Jul 22, 2009
- Last Updated
- Apr 6, 2020
Practice Location
- Address
- 1450 6TH ST SE
- City
- Winter Haven
- State
- Florida
- ZIP Code
- 33880
- Phone
- (863) 293-2147
Authorized Official
- Name
- LISA MCCARRELL
- Title
- PRACTICE ADMIN
- Phone
- (863) 293-2147
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
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