MEDICARE: DR. STEVEN J LOUIE MD

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	207K00000X	Allergy & Immunology Physician	ME0039042	FL

General Provider Information

NPI Number	:	1760489553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN J LOUIE MD

Provider Business Mailing Address
First Line	:	5507 S CONGRESS AVE
Second Line	:	SUITE 140
City	:	ATLANTIS
State	:	FL
Zip	:	33462-1139
Country	:	US
Telephone Number	:	561-965-6685
Fax Number	:	561-965-8525

Provider Business Practice Location Address
First Line	:	5507 S CONGRESS AVE
Second Line	:	SUITE 140
City	:	ATLANTIS
State	:	FL
Zip	:	33462-1139
Country	:	US
Telephone Number	:	561-965-6685
Fax Number	:	561-965-8525

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	03/10/2014

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