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
1	363L00000X	Nurse Practitioner	APRN11042072	FL
2	363LF0000X	Family Nurse Practitioner	11042072	FL

General Provider Information

NPI Number	:	1295614535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDDIE LOUIS

Provider Business Mailing Address
First Line	:	1842 42ND TER SW
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34116-5968
Country	:	US
Telephone Number	:	239-596-5220
Fax Number	:

Provider Business Practice Location Address
First Line	:	8403 PINES BLVD # 1389
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-6609
Country	:	US
Telephone Number	:	305-747-9564
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2025
Last Update Date	:	06/02/2026

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Directions to “ EDDIE LOUIS ” Practice Location

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