Individual
DR. PHILLIP G ST LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
532 VIRGINIA DR, ORLANDO, FL 32803-1856
(407) 898-8644
(407) 898-8646
Mailing address
532 VIRGINIA DR, ORLANDO, FL 32803-1856
(407) 898-8644
(407) 898-8646
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME42806
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068157100
—
FL
Enumeration date
03/24/2006
Last updated
08/26/2010
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