Active NPI 1164636783 Individual Practitioner Male Practitioner

Dr. Myron Rae Lindley St. Louis , MD

Surgery - Vascular Surgery • Sebring, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Myron St. Louis, MD is a certified Surgery - Vascular Surgery practicing in Sebring, FL. With approximately 25 years of clinical experience since graduating from State University Of New York Downstate Medical Center in 2001, Dr. St. Louis delivers high-quality medical care to the local community at 4301 SUN N LAKE BLVD.

Dr. St. Louis is affiliated with Adventist Health System-Sunbelt Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4301 Sun N Lake Blvd
Suite 103

Sebring, FL 338722162

Telephone 8633851900

Fax 8633859229

Associated Practice Facility / Clinic

🏢 Heartland Internal Medicine Associates, P.a. Facility NPI 1912934266

Medicare Profile & Education

Medical School

State University Of New York Downstate Medical Center

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Sebring, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs -8.5 yrs vs City Avg

City Avg: 33.5 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

2 Specialists

Practicing in Sebring, FL (412 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. St. Louis (25 Years) 25 Yrs

Sebring Specialty Average (33.5 Years) 33.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	172	147	$201.22	$66.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$255.15	$84.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	68	63	$396.00	$133.36
93925 Ultrasound of leg arteries or artery grafts	59	50	$123.92	$38.38
99221 Initial hospital inpatient care per day, typically 30 minutes	42	42	$255.00	$85.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	32	$295.00	$98.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	33	22	$361.00	$120.60
93880 Ultrasound of both sides of head and neck blood flow	31	31	$117.00	$38.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$405.00	$136.41
37228 Balloon dilation of artery of leg, initial vessel	24	22	$1691.00	$543.57
75716 Review by radiologist of both arms or legs arteries image	23	22	$282.00	$94.69
37226 Insertion of stent in arteries of leg	20	17	$1623.00	$380.50
76937 Ultrasonic guidance for blood vessel access	18	17	$45.00	$14.30
75625 Radiological supervision and interpretation X-ray of abdominal aorta	18	17	$208.00	$70.35
37232 Balloon dilation of artery of leg, each additional vessel	17	14	$618.00	$207.79
37191 Insertion of vena cava filter by endovascular approach, including radiological supervision and interpretation	15	15	$678.00	$218.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	13	$240.00	$80.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	169	151	$199.79	$66.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$253.34	$83.70
99221 Initial hospital inpatient care per day, typically 30 minutes	57	54	$254.79	$84.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	49	$395.22	$130.82
93925 Ultrasound of leg arteries or artery grafts	50	43	$113.88	$37.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	41	28	$359.24	$119.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	36	$294.28	$97.41
76937 Ultrasonic guidance for blood vessel access	38	34	$44.74	$14.58
93880 Ultrasound of both sides of head and neck blood flow	33	32	$116.64	$38.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	30	$238.84	$79.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$407.83	$131.06
75625 Radiological supervision and interpretation X-ray of abdominal aorta	28	26	$213.29	$68.81
37228 Balloon dilation of artery of leg, initial vessel	24	22	$1684.17	$478.08
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	22	$151.35	$50.24
75716 Review by radiologist of both arms or legs arteries image	20	19	$291.95	$93.14
37215 Insertion of stent and blood clot protection device in neck artery with review by radiologist	18	18	$3102.78	$970.36
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	16	15	$253.88	$84.19
37232 Balloon dilation of artery of leg, each additional vessel	15	12	$618.00	$204.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	11	$429.14	$142.98
37191 Insertion of vena cava filter by endovascular approach, including radiological supervision and interpretation	14	14	$676.86	$207.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	263	212	$268.28	$67.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	131	131	$336.20	$84.59
99221 Initial hospital inpatient care per day, typically 30 minutes	100	92	$307.00	$101.94
76937 Ultrasonic guidance for blood vessel access	75	69	$42.00	$13.95
93925 Ultrasound of leg arteries or artery grafts	61	51	$147.70	$39.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	60	31	$118.00	$39.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	50	$378.07	$98.01
75625 Radiological supervision and interpretation X-ray of abdominal aorta	56	53	$215.00	$71.27
75716 Review by radiologist of both arms or legs arteries image	47	45	$290.00	$96.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$507.00	$131.18
37228 Balloon dilation of artery of leg, initial vessel	28	24	$1730.00	$482.88
99441 Telephone medical discussion with physician, 5-10 minutes	25	25	$164.68	$35.95
93880 Ultrasound of both sides of head and neck blood flow	23	23	$121.00	$39.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	19	$215.11	$71.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$545.00	$147.06
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	17	13	$261.00	$86.51
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$663.73	$186.58
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	11	$309.00	$102.00
37215 Insertion of stent and blood clot protection device in neck artery with review by radiologist	14	13	$3183.00	$1016.99
37191 Insertion of vena cava filter by endovascular approach, including radiological supervision and interpretation	13	13	$687.00	$220.07
37226 Insertion of stent in arteries of leg	12	12	$1664.00	$345.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$410.00	$135.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	214	180	$274.00	$68.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	133	133	$339.00	$85.75
99221 Initial hospital inpatient care per day, typically 30 minutes	79	74	$308.00	$102.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	57	$390.00	$100.94
75625 Radiological supervision and interpretation X-ray of abdominal aorta	50	48	$214.64	$72.19
99441 Telephone medical discussion with physician, 5-10 minutes	48	45	$168.00	$36.75
76937 Ultrasonic guidance for blood vessel access	42	40	$43.00	$14.22
75716 Review by radiologist of both arms or legs arteries image	39	37	$291.33	$98.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$508.00	$139.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	21	$116.00	$38.83
37228 Balloon dilation of artery of leg, initial vessel	30	29	$1597.00	$544.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$411.00	$138.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	21	$217.00	$72.82
93925 Ultrasound of leg arteries or artery grafts	25	24	$141.08	$38.92
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	14	$311.00	$104.57
37232 Balloon dilation of artery of leg, each additional vessel	21	15	$2870.81	$214.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$604.00	$202.92
93923 Complete ultrasound study of arm and leg arteries	18	17	$70.00	$22.64
37191 Insertion of vena cava filter by endovascular approach, including radiological supervision and interpretation	17	17	$632.00	$222.19
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	16	16	$263.00	$88.23
93880 Ultrasound of both sides of head and neck blood flow	16	16	$119.00	$39.70
37215 Insertion of stent and blood clot protection device in neck artery with review by radiologist	14	13	$3191.00	$1065.43
37226 Insertion of stent in arteries of leg	13	13	$1535.00	$323.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	262	220	$226.00	$53.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	132	132	$325.00	$78.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	70	$328.00	$81.45
75625 Radiological supervision and interpretation X-ray of abdominal aorta	67	60	$220.39	$74.12
75716 Review by radiologist of both arms or legs arteries image	63	56	$297.29	$100.02
99221 Initial hospital inpatient care per day, typically 30 minutes	57	57	$316.00	$106.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	51	$425.00	$142.44
93923 Complete ultrasound study of arm and leg arteries	40	37	$69.80	$23.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$500.00	$135.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	30	$222.00	$74.41
37228 Balloon dilation of artery of leg, initial vessel	31	29	$1791.00	$547.28
99441 Telephone medical discussion with physician, 5-10 minutes	30	29	$61.80	$26.72
93880 Ultrasound of both sides of head and neck blood flow	23	23	$124.17	$41.44
37232 Balloon dilation of artery of leg, each additional vessel	20	15	$3036.15	$221.01
93925 Ultrasound of leg arteries or artery grafts	18	18	$121.78	$40.79
37226 Insertion of stent in arteries of leg	16	16	$1718.00	$396.03
36246 Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch	15	15	$2586.73	$244.51
35301 Removal of blood clot and portion of artery of neck	15	14	$3725.13	$1260.87
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	12	12	$271.67	$91.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$622.00	$207.82
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	12	12	$643.25	$91.45
37225 Removal of plaque in arteries of leg	11	11	$1987.00	$666.36
93882 Ultrasound of one side of head and neck blood flow	11	11	$107.27	$27.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	316	240	$53.00	$51.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	153	153	$79.00	$77.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	105	$82.87	$80.02
93923 Complete ultrasound study of arm and leg arteries	100	86	$75.58	$24.08
75625 Radiological supervision and interpretation X-ray of abdominal aorta	93	73	$175.00	$57.91
75716 Review by radiologist of both arms or legs arteries image	90	70	$300.00	$99.44
99221 Initial hospital inpatient care per day, typically 30 minutes	54	51	$313.00	$103.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	35	$223.00	$73.79
37228 Balloon dilation of artery of leg, initial vessel	49	43	$15177.00	$533.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$133.00	$131.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	37	$421.00	$139.24
37226 Insertion of stent in arteries of leg	31	29	$30975.00	$384.50
93880 Ultrasound of both sides of head and neck blood flow	30	30	$139.80	$41.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	23	$620.00	$205.23
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	22	18	$635.00	$89.51
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	17	$319.00	$105.44
37232 Balloon dilation of artery of leg, each additional vessel	21	16	$3261.00	$218.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$114.00	$112.68
35301 Removal of blood clot and portion of artery of neck	16	16	$3701.00	$1220.17
36246 Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch	16	16	$2519.00	$240.52
37225 Removal of plaque in arteries of leg	14	14	$35711.00	$610.93
93882 Ultrasound of one side of head and neck blood flow	13	12	$79.00	$26.11
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	13	13	$271.00	$89.80
37227 Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure	12	11	$45999.00	$758.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	323	231	$62.86	$52.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	193	193	$110.99	$81.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	113	$104.69	$81.63
75625 Radiological supervision and interpretation X-ray of abdominal aorta	70	60	$175.00	$57.57
93923 Complete ultrasound study of arm and leg arteries	68	55	$83.62	$22.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	58	56	$620.00	$204.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	40	$221.00	$73.29
99221 Initial hospital inpatient care per day, typically 30 minutes	51	47	$313.00	$102.89
75716 Review by radiologist of both arms or legs arteries image	47	42	$199.00	$98.63
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	36	30	$176.00	$88.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$153.86	$132.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	26	$319.00	$104.89
37228 Balloon dilation of artery of leg, initial vessel	34	31	$14735.06	$463.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	27	$420.00	$133.04
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	27	27	$708.00	$100.95
37226 Insertion of stent in arteries of leg	20	19	$24830.20	$394.13
35301 Removal of blood clot and portion of artery of neck	20	20	$3718.00	$1200.78
93880 Ultrasound of both sides of head and neck blood flow	18	18	$127.61	$40.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	15	$131.83	$113.53
37227 Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure	17	15	$43176.00	$784.79
37232 Balloon dilation of artery of leg, each additional vessel	17	14	$3515.00	$217.23
36246 Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch	16	16	$2466.00	$255.22
37225 Removal of plaque in arteries of leg	16	16	$31889.00	$652.93
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$219.00	$51.63
93925 Ultrasound of leg arteries or artery grafts	11	11	$128.00	$40.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	329	219	$57.08	$51.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	164	164	$85.60	$78.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	97	$90.08	$78.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	84	60	$221.00	$70.54
75625 Radiological supervision and interpretation X-ray of abdominal aorta	71	62	$175.00	$57.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	68	62	$620.00	$200.37
93923 Complete ultrasound study of arm and leg arteries	66	57	$77.00	$23.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	64	63	$420.00	$137.66
75716 Review by radiologist of both arms or legs arteries image	50	45	$199.00	$65.23
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	45	39	$695.11	$125.27
99221 Initial hospital inpatient care per day, typically 30 minutes	43	39	$315.49	$102.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$133.00	$130.64
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	32	28	$176.00	$57.53
37228 Balloon dilation of artery of leg, initial vessel	30	25	$15656.00	$488.10
35301 Removal of blood clot and portion of artery of neck	23	22	$3582.22	$1171.65
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	17	$121.00	$39.49
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$219.00	$51.06
37232 Balloon dilation of artery of leg, each additional vessel	21	15	$3515.00	$217.92
37225 Removal of plaque in arteries of leg	20	20	$31889.00	$620.21
37227 Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure	20	18	$43176.00	$701.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$326.00	$77.49
93880 Ultrasound of both sides of head and neck blood flow	18	17	$131.22	$40.67
76937 Ultrasonic guidance for blood vessel access	17	17	$45.00	$14.57
93882 Ultrasound of one side of head and neck blood flow	16	15	$89.19	$26.06
36470 Injection of chemical agent into single incompetent vein	15	15	$563.93	$71.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	13	$114.00	$111.31
37191 Insertion of vena cava filter by endovascular approach, including radiological supervision and interpretation	14	14	$7530.00	$229.20
93926 Ultrasound of one leg arteries or artery grafts	13	12	$81.85	$24.78
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	11	11	$5526.18	$366.23

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License FL ME 107124

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License PA MD438171

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

002469000 (FL)

Hospital & Practice Group Affiliations

Adventist Health System-Sunbelt Inc

4301 Sun N Lake Blvd, Sebring, FL 338722138

Phone: 8633851900

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Stewart Skipper , MD

Surgery

NPI 1427091073

Doctor of Medicine (M.D.)

Dr. Sameh Atalla , MD

Surgery

NPI 1508971144

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 23, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 23, 2013

Registered at 4301 SUN N LAKE BLVD, SUITE 103, SEBRING, FL 338722162 (Tel: 8633851900)

📍

Updated Business Mailing Address August 23, 2013

Registered at 4301 SUN N LAKE BLVD, SUITE 103, SEBRING, FL 338722162 (Tel: 8633851900)

👤

Provider Name / Credentials Updated August 23, 2013

Recorded as MYRON ST. LOUIS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2013

Surgery (License #ME 107124 in FL)

🟢

Initial NPI Registration & Enumeration May 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164636783

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 10, 2007

Last Update: August 23, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4301 Sun N Lake Blvd, Suite 103

Sebring, FL 338722162

Phone: 8633851900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.