Provider Demographics
NPI:1952989709
Name:LOUISSAINT, LUIDJI JEAN KERSAINT SR (MD)
Entity type:Individual
Prefix:DR
First Name:LUIDJI
Middle Name:JEAN KERSAINT
Last Name:LOUISSAINT
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2071 W ATLANTIC BLVD APT 102
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-2749
Mailing Address - Country:US
Mailing Address - Phone:954-699-6562
Mailing Address - Fax:
Practice Address - Street 1:2071 W ATLANTIC BLVRD
Practice Address - Street 2:APT 102
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069
Practice Address - Country:US
Practice Address - Phone:954-699-6562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-01
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL32150207Q00000X
PR1209P.A363A00000X
PR1209P.A.363A00000X
AZ9055363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine