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General NPI Number Information
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NPI Number | 1992894778
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Entity Type | Individual
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Provider Name | EDDY JOSEPH LOUISSAINT MD
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Gender | Male
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 11/05/2018
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Provider Practice Location Address
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Address Line | 601 N CONGRESS AVE #404
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City | DELRAY BEACH
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State | FL
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Zip | 33445
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Country | US
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Telephone | 561-272-7714
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Fax | 501-276-9845
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Provider Business Mailing Address
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Address Line | 3241 EXECUTIVE WAY
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City | MIRAMAR
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State | FL
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Zip | 33025-3931
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Country | US
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Telephone | 954-985-6500
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Fax | 954-967-8419
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 50401
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License Number State | FL
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