Provider Demographics
NPI:1770657892
Name:KAPLAN, ERIC MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:MICHAEL
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 1:146 WHITAKER ROAD
Mailing Address - Street 2:STE B
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33549-7611
Mailing Address - Country:US
Mailing Address - Phone:813-948-8541
Mailing Address - Fax:813-948-8625
Practice Address - Street 1:146 WHITAKER ROAD
Practice Address - Street 2:STE B
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33549-7611
Practice Address - Country:US
Practice Address - Phone:813-948-8541
Practice Address - Fax:813-948-8625
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFLME509852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009775OtherBCBS
F00121Medicare UPIN
FL009775Medicare ID - Type Unspecified