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Dr. Phillip G St Louis, MD
Specialist in Orlando, Florida
NPI 1972563799

Phillip G St Louis is a Specialist based in Orlando, FL. Phillip G St Louis practices in Orlando, FL and has the professional credentials of MD. The NPI Number for Phillip G St Louis is 1972563799 and holds a License No. ME42806 (Florida).

The current practice location address for Phillip G St Louis is 532 Virginia Dr, Orlando, FL and can be reached out via phone at 407-898-8644 and via fax at 407-898-8646.

Location: 532 Virginia Dr, Orlando, FL, 32803-1856
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972563799
Provider Name
Phillip G St Louis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
532 Virginia Dr, Orlando, FL, 32803-1856
Phone Number
407-898-8644
Fax Number
407-898-8646
Provider Enumeration Date
03/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
068157100 05 FL
institution
Provider Business Practice Location Address Details
Address
532 Virginia Dr
City
Orlando
State
Florida
Zip
32803-1856
Phone Number
407-898-8644
Fax Number
407-898-8646
person
Provider Business Mailing Address Details
Address
532 Virginia Dr
City
Orlando
State
Florida
Zip
32803-1856
Phone Number
407-898-8644
Fax Number
407-898-8646
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME42806 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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