Provider Demographics
NPI:1790254027
Name:TOPEL, LINDA RACHEL (APRN)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:RACHEL
Last Name:TOPEL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4841 SW 34TH TER
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-7949
Mailing Address - Country:US
Mailing Address - Phone:305-345-5609
Mailing Address - Fax:
Practice Address - Street 1:486 FISHERMAN ST
Practice Address - Street 2:
Practice Address - City:OPA LOCKA
Practice Address - State:FL
Practice Address - Zip Code:33054-3818
Practice Address - Country:US
Practice Address - Phone:305-688-5456
Practice Address - Fax:305-688-1661
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-15
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11000096207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine