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Individual

MRS. LUCIA ANN TOPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
630 79TH ST E, PALMETTO, FL 34221-8891
(941) 722-5048
(941) 729-8354
Mailing address
PO BOX 789, PALMETTO, FL 34220-0789
(941) 722-5048
(941) 729-8354

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
687827096
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
687827096
MEDICAID WAIVER
FL
Enumeration date
12/31/2010
Last updated
12/31/2010
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