Healthcare Provider Details

I. General information

NPI: 1225169451
Provider Name (Legal Business Name): KIMBERLY DENAE TOPE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3402 W DR MARTIN LUTHER KING JR BLVD
TAMPA FL
33607-6214
US

IV. Provider business mailing address

PO BOX 102222
ATLANTA GA
30368-2222
US

V. Phone/Fax

Practice location:
  • Phone: 813-875-3950
  • Fax: 813-872-2741
Mailing address:
  • Phone: 239-274-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SX0200X
TaxonomyOncology Clinical Nurse Specialist
License NumberAPRN2798892
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: