Provider Demographics
NPI:1124021977
Name:KAPROTH, DAVID EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:EDWARD
Last Name:KAPROTH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2626 CARE DR
Mailing Address - Street 2:STE 200
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4489
Mailing Address - Country:US
Mailing Address - Phone:850-878-8235
Mailing Address - Fax:850-219-2395
Practice Address - Street 1:2626 CARE DR
Practice Address - Street 2:STE 200
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4489
Practice Address - Country:US
Practice Address - Phone:850-878-8235
Practice Address - Fax:850-219-2395
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME21311207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000898862BMedicaid
FL99039OtherGROUP BCBS NUMBER
FL080156808OtherRAIL ROAD MEDICARE
FLP00625818OtherRR MEDICARE
FLD53388Medicare UPIN
FL200384Medicare ID - Type Unspecified