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NPI Code Detail

MEDICARE: EDDIE LOUIS

MEDICARE:   EDDIE  LOUIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAPRN11042072FL
2363LF0000XFamily Nurse Practitioner11042072FL

General Provider Information

NPI Number : 1295614535
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDDIE LOUIS
Provider Business Mailing Address
First Line : 2255 GLADES RD STE 228W
Second Line :
City : BOCA RATON
State : FL
Zip : 33431-7391
Country : US
Telephone Number : 305-747-9564
Fax Number :
Provider Business Practice Location Address
First Line : 1855 VETERANS PARK DR STE 103
Second Line :
City : NAPLES
State : FL
Zip : 34109-0446
Country : US
Telephone Number : 239-596-5220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2025
Last Update Date : 02/20/2026

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Directions to “ EDDIE LOUIS ” Practice Location

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