Healthcare Provider Details

I. General information

NPI: 1255625091
Provider Name (Legal Business Name): THOMAS TOUSSAINT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2011
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 CITRUS MEDICAL CT
OCOEE FL
34761-4547
US

IV. Provider business mailing address

1520 CITRUS MEDICAL CT UNIT B
OCOEE FL
34761-4547
US

V. Phone/Fax

Practice location:
  • Phone: 407-216-2121
  • Fax: 407-216-2003
Mailing address:
  • Phone: 407-216-2121
  • Fax: 407-216-2003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME113663
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: