Provider Demographics
NPI:1174674212
Name:AZIZ-TOPPINO, MAYSSA (MD)
Entity type:Individual
Prefix:DR
First Name:MAYSSA
Middle Name:
Last Name:AZIZ-TOPPINO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1804 OAKLEY SEAVER DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-1925
Mailing Address - Country:US
Mailing Address - Phone:352-243-8704
Mailing Address - Fax:352-243-8705
Practice Address - Street 1:1804 OAKLEY SEAVER DR
Practice Address - Street 2:SUITE B
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-1925
Practice Address - Country:US
Practice Address - Phone:352-243-8704
Practice Address - Fax:352-243-8705
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME73775207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL41900YOtherMEDICARE PTAN
FL257334201Medicaid
FLG61855Medicare UPIN