Provider Demographics
NPI:1710918578
Name:KAPLAN, STANLEY M
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:M
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4202 W WATERS AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-1972
Mailing Address - Country:US
Mailing Address - Phone:813-887-5511
Mailing Address - Fax:813-889-0378
Practice Address - Street 1:4202 W WATERS AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-1972
Practice Address - Country:US
Practice Address - Phone:813-887-5511
Practice Address - Fax:813-889-0378
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO00001248213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL041208200Medicaid
FL4043430001Medicare NSC