Provider Demographics
NPI:1205181658
Name:TOPPING, TAYLOR (DO)
Entity type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:
Last Name:TOPPING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5123 4TH AVENUE CIR E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-5620
Mailing Address - Country:US
Mailing Address - Phone:941-744-5510
Mailing Address - Fax:
Practice Address - Street 1:11565 US HIGHWAY 301 N
Practice Address - Street 2:
Practice Address - City:PARRISH
Practice Address - State:FL
Practice Address - Zip Code:34219-8497
Practice Address - Country:US
Practice Address - Phone:941-744-5510
Practice Address - Fax:941-744-5166
Is Sole Proprietor?:No
Enumeration Date:2012-07-20
Last Update Date:2024-09-18
Deactivation Date:2018-06-20
Deactivation Code:
Reactivation Date:2018-06-27
Provider Licenses
StateLicense IDTaxonomies
SCMDO52027208000000X
FLOS19259208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01013818Medicaid