Healthcare Provider Details
I. General information
NPI: 1306773437
Provider Name (Legal Business Name): STEPWELL HEALTH P.LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1271 PEREGRINE WAY
WESTON FL
33327-2372
US
IV. Provider business mailing address
1271 PEREGRINE WAY
WESTON FL
33327-2372
US
V. Phone/Fax
- Phone: 954-687-6197
- Fax: 561-990-1332
- Phone: 954-687-6197
- Fax: 561-990-1332
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GERMAINE
JOSEPH
TOUSSAINT
Title or Position: MANAGING MEMBER
Credential: FNP-BC
Phone: 954-687-6197