Provider Demographics
NPI:1023462348
Name:TAOPO, VICENTA
Entity type:Individual
Prefix:MRS
First Name:VICENTA
Middle Name:
Last Name:TAOPO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VICENTA
Other - Middle Name:
Other - Last Name:ONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:373 NE 36TH AVENUE RD
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-7111
Mailing Address - Country:US
Mailing Address - Phone:786-650-2935
Mailing Address - Fax:786-650-2935
Practice Address - Street 1:373 NE 36TH AVENUE RD
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-7111
Practice Address - Country:US
Practice Address - Phone:786-650-2935
Practice Address - Fax:786-650-2935
Is Sole Proprietor?:No
Enumeration Date:2016-04-22
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5198043164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse