Provider Demographics
NPI:1467406215
Name:ST. LOUIS, JAMES STEPHEN (DO)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:STEPHEN
Last Name:ST. LOUIS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 STATE ST E STE 222
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-3711
Mailing Address - Country:US
Mailing Address - Phone:813-819-0290
Mailing Address - Fax:
Practice Address - Street 1:300 STATE ST E STE 222
Practice Address - Street 2:
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-3711
Practice Address - Country:US
Practice Address - Phone:813-819-0290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS6763174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOS6763OtherMEDICAL LICENSE
FLOS6763OtherMEDICAL LICENSE