Healthcare Provider Details

I. General information

NPI: 1962402545
Provider Name (Legal Business Name): SHARI FERN TOPPER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2005
Last Update Date: 04/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21020 STATE ROAD 7 SUITE 120
BOCA RATON FL
33428-1320
US

IV. Provider business mailing address

21020 STATE ROAD 7 SUITE 120
BOCA RATON FL
33428-1320
US

V. Phone/Fax

Practice location:
  • Phone: 561-883-5640
  • Fax: 561-409-4010
Mailing address:
  • Phone: 561-883-5640
  • Fax: 561-409-4010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberME0063411
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: