Foster Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1421 Issued in FL

Legal business name

FOSTER MEDICAL SUPPLY, INC.

Practice address

3911 SW 47TH Ave
Suite 911
Davie, FL 33314-2818

Phone

(954) 327-0196

Fax

(954) 327-0128

NPI assigned

Jul 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ronald E Taylor

Title

President

Phone

(727) 534-7212

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1558394031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 SW 47TH AVE",
            "address_2": "SUITE 911",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333142818",
            "telephone_number": "954-327-0196",
            "fax_number": "954-327-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 SW 47TH AVE",
            "address_2": "SUITE 911",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333142818",
            "telephone_number": "954-327-0196",
            "fax_number": "954-327-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTER MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-534-7212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111530400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "R8446",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Forte Diaz Arguelles
• Samantha Forte, CF-SLP
• Catalina Fortich
• Angela Fortuna Garcia
• Fortune Smiles Inc
• Gina M. Foster-Moumoutjis, MD
• Matthew Thomas Fostier, O.D.
• Nicole Fournier
• Lindsay Diane Frady, APRN FNP-C
• Karen Fraga

• Durable Medical Equipment & Medical Supplies in Davie, FL
• Providers in Davie, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.