Provider Demographics
NPI:1427141506
Name:TOPEL, CRYSTAL (LM, CPM)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:
Last Name:TOPEL
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:CRYSTAL
Other - Middle Name:
Other - Last Name:DAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LM
Mailing Address - Street 1:434 GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-3651
Mailing Address - Country:US
Mailing Address - Phone:407-644-5567
Mailing Address - Fax:
Practice Address - Street 1:434 GROVE AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-3651
Practice Address - Country:US
Practice Address - Phone:407-644-5567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW194176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3405851 00Medicaid