Healthcare Provider Details

I. General information

NPI: 1629954433
Provider Name (Legal Business Name): MARCDLINE TOUSSAINT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2025
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2843 PEMBROKE RD STE 1
HOLLYWOOD FL
33020-5649
US

IV. Provider business mailing address

630 NW 185TH ST
MIAMI FL
33169-4454
US

V. Phone/Fax

Practice location:
  • Phone: 305-942-7307
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN9377428
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: