MEDICARE: NIMRODE TOUSSAINT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	APRN11012772	FL
2	163W00000X	Registered Nurse	RN9297557	FL

General Provider Information

NPI Number	:	1871916759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIMRODE TOUSSAINT

Provider Business Mailing Address
First Line	:	20620 NW 12TH CT
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33169-2488
Country	:	US
Telephone Number	:	305-725-3379
Fax Number	:

Provider Business Practice Location Address
First Line	:	2719 HOLLYWOOD BLVD STE 5592
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-4821
Country	:	US
Telephone Number	:	305-851-6044
Fax Number	:	305-701-9449

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2014
Last Update Date	:	07/11/2025

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Directions to “ NIMRODE TOUSSAINT ” Practice Location

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