Provider Demographics
NPI:1003696089
Name:OURTOPCLINIC LLC
Entity type:Organization
Organization Name:OURTOPCLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:
Authorized Official - First Name:NAURAH
Authorized Official - Middle Name:THEODORA
Authorized Official - Last Name:GASPARD
Authorized Official - Suffix:
Authorized Official - Credentials:DNP FNP-C FNP-BC
Authorized Official - Phone:888-932-4771
Mailing Address - Street 1:550 SE 6TH AVE STE 200-V
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-5306
Mailing Address - Country:US
Mailing Address - Phone:888-932-4771
Mailing Address - Fax:
Practice Address - Street 1:550 SE 6TH AVE STE 200-V
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-5306
Practice Address - Country:US
Practice Address - Phone:888-932-4771
Practice Address - Fax:971-351-6601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty