Provider Demographics
NPI:1023081643
Name:MCDONALD-TOUSSAINT, CAMILLE A (MD)
Entity type:Individual
Prefix:DR
First Name:CAMILLE
Middle Name:A
Last Name:MCDONALD-TOUSSAINT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CAMILLE
Other - Middle Name:A
Other - Last Name:MCDONALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2139 N UNIVERSITY DR # 2320
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-6134
Mailing Address - Country:US
Mailing Address - Phone:954-824-1764
Mailing Address - Fax:954-824-2017
Practice Address - Street 1:2701 NE 14TH STREET CSWY STE 2
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-3535
Practice Address - Country:US
Practice Address - Phone:954-824-1764
Practice Address - Fax:954-824-2017
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-13
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME111799207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2218529OtherUNITED
FL009363900Medicaid
FL14Q87OtherBCBS
FL3725959OtherCIGNA
FL7411416OtherAETNA
FLP01206850OtherRAILROAD MEDICARE
FLME111799OtherMEDICAL LICENSE
FL7411416OtherAETNA
FL3725959OtherCIGNA