Provider Demographics
NPI:1831181817
Name:DAMIS, LOUIS FRANCIS (PHD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:FRANCIS
Last Name:DAMIS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2441 W SR 426
Mailing Address - Street 2:SUITE 1021
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-4515
Mailing Address - Country:US
Mailing Address - Phone:407-706-0622
Mailing Address - Fax:407-706-0623
Practice Address - Street 1:2441 W SR 426
Practice Address - Street 2:SUITE 1021
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-4515
Practice Address - Country:US
Practice Address - Phone:407-706-0622
Practice Address - Fax:407-706-0623
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2013-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 5233103TC0700X, 103TF0200X, 103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL59757OtherBC/BS OF FLORIDA
FL59757XMedicare PIN
FL59757OtherBC/BS OF FLORIDA
FL59757AMedicare ID - Type Unspecified