Provider Demographics
NPI:1083790034
Name:EDWARD J KAPLAN, MD, PA
Entity Type:Organization
Organization Name:EDWARD J KAPLAN, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-379-4848
Mailing Address - Street 1:4848 COCONUT CREEK PKWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33063-3904
Mailing Address - Country:US
Mailing Address - Phone:954-379-4848
Mailing Address - Fax:954-642-3634
Practice Address - Street 1:4848 COCONUT CREEK PKWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33063-3904
Practice Address - Country:US
Practice Address - Phone:954-379-4848
Practice Address - Fax:954-642-3634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10907OtherTENET TOTAL HEALTH CHOICE
FL250581900Medicaid
FL31567OtherBC BS OF FLORIDA
FL7299291OtherGHI
FL203962OtherAVMED
FL3744706OtherAETNA
FL1914427OtherCIGNA
FL7681680OtherAETNA NON-HMO
FLF94513OtherVISTA HEALTH PLAN
FL=========OtherHUMANA
FL1914427OtherCIGNA
FL250581900Medicaid
FLF94513Medicare UPIN
FLK6390Medicare PIN
FL7299291OtherGHI
FL31567OtherBC BS OF FLORIDA