Healthcare Provider Details

I. General information

NPI: 1750567251
Provider Name (Legal Business Name): JOSEF LEE TOUSSAINT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2008
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 BLACK GOLD BLVD STE 210
HAZARD KY
41701-2620
US

IV. Provider business mailing address

3801 BISCAYNE BLVD SUITE 300
MIAMI FL
33137-9800
US

V. Phone/Fax

Practice location:
  • Phone: 606-487-7000
  • Fax: 606-487-7022
Mailing address:
  • Phone: 305-571-0620
  • Fax: 305-576-8099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberME104405
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number046360
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number046360
License Number StateCT
# 4
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberME104405
License Number StateFL
# 5
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number50807
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: