Basic Information
| Provider Information | |||||||||
| NPI: | 1780166843 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | TOLBA | ||||||||
| FirstName: | HOPE | ||||||||
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| Credential: | AA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1637 EAGLE CREEK DR | ||||||||
| Address2: | |||||||||
| City: | CLEARWATER | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337642617 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7274520615 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9330 FL-54 | ||||||||
| Address2: | |||||||||
| City: | NEW PORT RICHEY | ||||||||
| State: | FL | ||||||||
| PostalCode: | 34655 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7278451736 | ||||||||
| FaxNumber: | 7278490759 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/05/2018 | ||||||||
| LastUpdateDate: | 04/21/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/21/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367H00000X | AA462 | FL | N | Physician Assistants & Advanced Practice Nursing Providers | Anesthesiologist Assistant | 207L00000X | AA462 | FL | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.