Healthcare Provider Details

I. General information

NPI: 1346406345
Provider Name (Legal Business Name): SARAH M. ST. LOUIS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2008
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 W FAIRBANKS AVE STE 100
WINTER PARK FL
32789-4777
US

IV. Provider business mailing address

7416 RED BUG LAKE RD
OVIEDO FL
32765-7154
US

V. Phone/Fax

Practice location:
  • Phone: 321-842-4810
  • Fax: 321-842-4809
Mailing address:
  • Phone: 407-381-7387
  • Fax: 407-636-7821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberME 128140
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: