Individual
DR. LOUIS ST PETERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1132 LEE AVE, TALLAHASSEE, FL 32303-6508
(850) 224-8833
(850) 224-8802
Mailing address
PO BOX 12427, TALLAHASSEE, FL 32317-2427
(850) 297-0114
(850) 297-2020
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
ME17395
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00055118A
—
GA
05
—
537047001
—
FL
Enumeration date
08/03/2006
Last updated
08/22/2013
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