Provider Demographics
NPI:1326090689
Name:TOUSSAINT, MARIE ROSY (MD)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:ROSY
Last Name:TOUSSAINT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 US HIGHWAY 27 N
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-2100
Mailing Address - Country:US
Mailing Address - Phone:633-820-0009
Mailing Address - Fax:863-314-0008
Practice Address - Street 1:119 US HIGHWAY 27 N
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-2100
Practice Address - Country:US
Practice Address - Phone:863-382-0009
Practice Address - Fax:863-314-0008
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME571752083P0011X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00357887OtherRAILROAD MEDICARE
FL10205OtherBCBS FLORIDA
FL374824300Medicaid
FLU3273ZMedicare PIN
FL10205OtherBCBS FLORIDA