Healthcare Provider Details

I. General information

NPI: 1417891029
Provider Name (Legal Business Name): RAEMON TOPA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RAEMON PROFFIT MEENTS MD

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14100 58TH ST N
CLEARWATER FL
33760-9900
US

IV. Provider business mailing address

14100 58TH ST N
CLEARWATER FL
33760-9900
US

V. Phone/Fax

Practice location:
  • Phone: 727-824-8181
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberM532735997180
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: