Provider Demographics
NPI:1154817864
Name:DALE M KAPLAN DPM LLC
Entity Type:Organization
Organization Name:DALE M KAPLAN DPM LLC
Other - Org Name:DALE M. KAPLAN DPM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:
Authorized Official - First Name:DALE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:248-931-0910
Mailing Address - Street 1:882 W SUNSET STRIP DR
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:FL
Mailing Address - Zip Code:34465-8745
Mailing Address - Country:US
Mailing Address - Phone:248-931-0910
Mailing Address - Fax:727-573-2048
Practice Address - Street 1:4311 BAYOU BLVD APT A8
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2621
Practice Address - Country:US
Practice Address - Phone:248-931-0910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-05
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3976213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty