MEDICARE: TOP HEALTH MANAGEMENT, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1932730918
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOP HEALTH MANAGEMENT, LLC

Provider Business Mailing Address
First Line	:	401 E JACKSON ST STE 3100
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-5228
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14918 N FLORIDA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33613-1632
Country	:	US
Telephone Number	:	615-390-9757
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	JOHN WOODS
Credential	:
Telephone Number	:	615-390-9757

Provider Enumeration Date	:	01/29/2020
Last Update Date	:	01/29/2020

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