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Individual

DR. PAUL M. LOUIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
703 N FLAMINGO RD, PEMBROKE PINES, FL 33028-1006
(954) 436-5000
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01087905A
IN
207P00000X
Emergency Medicine Physician
Primary
ME82510
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01746
BLUE SHIELD OF FL
FL
05
261538000
FL
Enumeration date
06/23/2006
Last updated
07/18/2022
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