Organization Active NPI

Premier Primary Care Corporation

  • Family Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1366211500
Registry record updated Aug 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PREMIER PRIMARY CARE CORPORATION
Practice address
10003 NW 53Rd CT
Coral Springs, FL 33076-2422
Phone
(754) 215-1674
NPI assigned
Dec 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Camille McDonald-Toussaint, MDNPI 1023081643
Title
Founder/Ceo
Phone
(754) 215-1674

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

10003 NW 53Rd CT
Coral Springs, FL 33076-2422

Mailing address

10003 NW 53Rd CT
Coral Springs, FL 33076-2422
Phone (754) 215-1674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240131001535 FL Part B Supplier - Clinic/Group Practice 1456704071 Receives reassigned benefits from 2 practitioners
Practice locations: Pompano Beach, FL

National Provider Directory

National Provider Directory

Locations

2701 NE 14th Street Cswy
Ste 2
Pompano Beach, FL 33062
Phone (754) 215-1674

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785628800000",
    "number": "1366211500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10003 NW 53RD CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762422",
            "telephone_number": "754-215-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10003 NW 53RD CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762422",
            "telephone_number": "754-215-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PRIMARY CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2026-08-02",
        "certification_date": "2026-08-02",
        "status": "A",
        "authorized_official_last_name": "MCDONALD-TOUSSAINT",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "754-215-1674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.