Provider Demographics
NPI:1487634671
Name:KAPLAN, LINDA R (DPM)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:R
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2848 BRIARWOOD LN
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-2112
Mailing Address - Country:US
Mailing Address - Phone:727-786-7239
Mailing Address - Fax:727-789-4179
Practice Address - Street 1:2848 BRIARWOOD LN
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-2112
Practice Address - Country:US
Practice Address - Phone:727-786-7239
Practice Address - Fax:727-789-4179
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO1381213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL87906Medicare ID - Type Unspecified
FLT55598Medicare UPIN