Provider Demographics
NPI:1760489553
Name:LOUIE, STEVEN J (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:J
Last Name:LOUIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5507 S CONGRESS AVE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462-1139
Mailing Address - Country:US
Mailing Address - Phone:561-965-6685
Mailing Address - Fax:561-965-8525
Practice Address - Street 1:5507 S CONGRESS AVE
Practice Address - Street 2:SUITE 140
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-1139
Practice Address - Country:US
Practice Address - Phone:561-965-6685
Practice Address - Fax:561-965-8525
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0039042207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL61353Medicare ID - Type Unspecified