Provider Demographics
NPI:1558788851
Name:LOUIS, LINDA MOLEON (MD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:MOLEON
Last Name:LOUIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 NW 165TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-6482
Mailing Address - Country:US
Mailing Address - Phone:305-778-1344
Mailing Address - Fax:305-630-8374
Practice Address - Street 1:290 NW 165TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-6482
Practice Address - Country:US
Practice Address - Phone:305-778-1344
Practice Address - Fax:305-630-8374
Is Sole Proprietor?:No
Enumeration Date:2014-03-25
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME135631207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program