Provider Demographics
NPI:1477587830
Name:KAPLAN, EDWARD J (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:J
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:ATTN: PAYER CONTRACTING & RELATIONS DEPT.
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:4848 COCONUT CREEK PKWY
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
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME710832085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10979OtherWELLCARE
FL4570646OtherAETNA
FLP300144OtherFREEDOM
FL200834220OtherGUARDIAN
FL31567YOtherBCBS/HEALTH OPTIONS
FLF94513OtherVISTA HEALTH PLAN
FLP01584476OtherRR MEDICARE
FL10907OtherTENET TOTAL HEALTH PLAN
FL200834220OtherDIMENSION
FL203962OtherAV MED HEALTH PLAN
FL31567OtherBCBS
FL7480OtherDIMENSION
FL7681680OtherAETNA NON-HMO
FL200834220OtherHUMANA
FL7299291OtherGROUP HEALTH INSURANCE
FL9194427OtherCIGNA
FLP963011OtherOPTIMUM
FL200834220OtherUNITED HEALTHCARE
FL3744706OtherAETNA
FL203962OtherAVMED
FL7480OtherDIMENSION
FL7681680OtherAETNA NON-HMO
FL31567WMedicare PIN