Provider Demographics
NPI:1174809347
Name:TOUSSAINT, HERMITE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:HERMITE
Middle Name:
Last Name:TOUSSAINT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:HERMITE
Other - Middle Name:
Other - Last Name:DESPEINES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:4251 SW 82ND WAY
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-2979
Mailing Address - Country:US
Mailing Address - Phone:305-495-4902
Mailing Address - Fax:954-476-0578
Practice Address - Street 1:4251 SW 82ND WAY
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-2979
Practice Address - Country:US
Practice Address - Phone:305-495-4902
Practice Address - Fax:954-476-0578
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3094022363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily