Healthcare Provider Details

I. General information

NPI: 1841429826
Provider Name (Legal Business Name): TOSU INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2009
Last Update Date: 07/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

633 NE 167TH ST SUITR 1103
MIAMI FL
33162-2442
US

IV. Provider business mailing address

633 NE 167TH ST SUITR 1103
MIAMI FL
33162-2442
US

V. Phone/Fax

Practice location:
  • Phone: 305-281-2522
  • Fax: 305-681-9102
Mailing address:
  • Phone: 305-281-2522
  • Fax: 305-681-9102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ANTOINE ROUSE
Title or Position: PRESIDENT
Credential: RN
Phone: 954-695-1258