Healthcare Provider Details

I. General information

NPI: 1871916759
Provider Name (Legal Business Name): NIMRODE TOUSSAINT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2014
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2719 HOLLYWOOD BLVD STE 5592
HOLLYWOOD FL
33020-4821
US

IV. Provider business mailing address

20620 NW 12TH CT
MIAMI GARDENS FL
33169-2488
US

V. Phone/Fax

Practice location:
  • Phone: 305-851-6044
  • Fax: 305-701-9449
Mailing address:
  • Phone: 305-725-3379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11012772
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11012772
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9297557
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: