Healthcare Provider Details

I. General information

NPI: 1205181658
Provider Name (Legal Business Name): TAYLOR TOPPING DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2012
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date: 06/20/2018
Reactivation Date: 06/27/2018

III. Provider practice location address

11565 US HIGHWAY 301 N
PARRISH FL
34219-8497
US

IV. Provider business mailing address

5123 4TH AVENUE CIR E
BRADENTON FL
34208-5620
US

V. Phone/Fax

Practice location:
  • Phone: 941-744-5510
  • Fax: 941-744-5166
Mailing address:
  • Phone: 941-744-5510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMDO52027
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberOS19259
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: