Provider Demographics
NPI:1245517069
Name:KAPLAN, NONNA K
Entity type:Individual
Prefix:
First Name:NONNA
Middle Name:K
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11204 W STATE ROAD 84
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33325-4021
Mailing Address - Country:US
Mailing Address - Phone:954-476-0203
Mailing Address - Fax:954-476-7462
Practice Address - Street 1:11204 W STATE ROAD 84
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33325-4021
Practice Address - Country:US
Practice Address - Phone:954-476-0203
Practice Address - Fax:954-476-7462
Is Sole Proprietor?:No
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS35987183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist