Healthcare Provider Details

I. General information

NPI: 1770214470
Provider Name (Legal Business Name): GILSON DE CAVALCANTE ALMEIDA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2022
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1438 S GRAND BLVD
SAINT LOUIS MO
63104-1027
US

IV. Provider business mailing address

6001 SW 70TH ST APT 403
SOUTH MIAMI FL
33143-3436
US

V. Phone/Fax

Practice location:
  • Phone: 314-617-2766
  • Fax:
Mailing address:
  • Phone: 786-956-8680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2025039167
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number35484
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: