Provider Demographics
NPI:1467640441
Name:KAPLAN, JORDAN H (DC)
Entity Type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:H
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:959 WEST AVE STE 17
Mailing Address - Street 2:17
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-5214
Mailing Address - Country:US
Mailing Address - Phone:305-507-5220
Mailing Address - Fax:
Practice Address - Street 1:959 WEST AVE STE 17
Practice Address - Street 2:17
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-5214
Practice Address - Country:US
Practice Address - Phone:305-507-5220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-04
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9284111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL76101Medicare PIN