Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | ME 126938 | FL |
N | 207Q00000X | Family Doctor | ME 126938 | FL |
Y | 207QA0401X | Family Doctor - Addiction Medicine | ME 126938 | FL |
NPI | 1558541839 |
---|---|
Provider Name | Dr. Obed Nasson Saint-Louis |
First Address | Clermont, FL 34711-2711 |
Second Address | Clermont, FL 34711 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2007 |
Last Update Date | 05/09/2018 |