Healthcare Provider Details

I. General information

NPI: 1992351613
Provider Name (Legal Business Name): DANISE TOUSSAINT APRN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2019
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1190 NW 95TH ST STE 107
MIAMI FL
33150-2064
US

IV. Provider business mailing address

101 NE 29TH ST
POMPANO BEACH FL
33064-3633
US

V. Phone/Fax

Practice location:
  • Phone: 305-696-9400
  • Fax:
Mailing address:
  • Phone: 954-513-5903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number11028776
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM08865
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: