MEDICARE: SHARI FERN TOPPER MD

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	207N00000X	Dermatology Physician	ME0063411	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	6000579	OTHER	DC	GHI PROVIDER NUMBER
3	0604610	OTHER	FL	AETNA PROVIDER NUMBER

General Provider Information

NPI Number	:	1962402545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARI FERN TOPPER MD

Provider Business Mailing Address
First Line	:	21020 STATE ROAD 7
Second Line	:	SUITE 120
City	:	BOCA RATON
State	:	FL
Zip	:	33428-1320
Country	:	US
Telephone Number	:	561-883-5640
Fax Number	:	561-409-4010

Provider Business Practice Location Address
First Line	:	21020 STATE ROAD 7
Second Line	:	SUITE 120
City	:	BOCA RATON
State	:	FL
Zip	:	33428-1320
Country	:	US
Telephone Number	:	561-883-5640
Fax Number	:	561-409-4010

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	04/02/2014

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