Provider Demographics
NPI:1477871440
Name:RM TOUSSAINT MD LLC
Entity Type:Organization
Organization Name:RM TOUSSAINT MD LLC
Other - Org Name:CHIME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSEMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOUSSAINT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-733-4005
Mailing Address - Street 1:4600 S. KIRKMAN ROAD
Mailing Address - Street 2:# 218
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811
Mailing Address - Country:US
Mailing Address - Phone:305-572-0005
Mailing Address - Fax:305-394-9592
Practice Address - Street 1:4600 S. KIRKMAN ROAD
Practice Address - Street 2:# 218
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811
Practice Address - Country:US
Practice Address - Phone:305-572-0005
Practice Address - Fax:305-394-9592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-14
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 90856208600000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDE119AMedicare PIN