Provider Demographics
NPI:1962989384
Name:WHIPPLE, TOCOVIA C
Entity type:Individual
Prefix:MRS
First Name:TOCOVIA
Middle Name:C
Last Name:WHIPPLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 NE 15TH ST STE 103
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-4581
Mailing Address - Country:US
Mailing Address - Phone:786-601-9007
Mailing Address - Fax:786-272-0463
Practice Address - Street 1:100 NE 15TH ST STE 103
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-4581
Practice Address - Country:US
Practice Address - Phone:786-601-9007
Practice Address - Fax:786-272-0463
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-27
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9358384163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse