Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | ME 128140 | FL |
NPI | 1346406345 |
---|---|
Provider Name | Dr. Sarah M. St. Louis |
First Address | Orlando, FL 32806-1124 |
Second Address | Orlando, FL 32806 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2008 |
Last Update Date | 26/07/2018 |