Provider Demographics
NPI:1437126521
Name:KAPLAN, STUART (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:
Last Name:KAPLAN
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 1:4300 N UNIVERSITY DR
Mailing Address - Street 2:SUITE E-200
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-6249
Mailing Address - Country:US
Mailing Address - Phone:954-742-3500
Mailing Address - Fax:954-742-3503
Practice Address - Street 1:4300 N UNIVERSITY DR
Practice Address - Street 2:SUITE E-200
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-6249
Practice Address - Country:US
Practice Address - Phone:954-742-3500
Practice Address - Fax:954-742-3503
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME661702085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME66170OtherFLORIDA MEDICAL LICENSE
FLME66170OtherFLORIDA MEDICAL LICENSE
FL25215ZMedicare ID - Type UnspecifiedFIRST COAST SERVICE OPTIO