MEDICARE: DR. SARAH M. ST. LOUIS M.D.

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	207VF0040X	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	ME 128140	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346406345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH M. ST. LOUIS M.D.

Provider Business Mailing Address
First Line	:	7416 RED BUG LAKE RD
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-7154
Country	:	US
Telephone Number	:	407-381-7387
Fax Number	:	407-636-7821

Provider Business Practice Location Address
First Line	:	1111 W FAIRBANKS AVE STE 100
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4777
Country	:	US
Telephone Number	:	321-842-4810
Fax Number	:	321-842-4809

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

Provider Enumeration Date	:	07/30/2008
Last Update Date	:	11/05/2025

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