Provider Demographics
NPI:1336263169
Name:KAPLAN, MICHELLE S
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:S
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 1:1212 E BROWARD BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-2121
Mailing Address - Country:US
Mailing Address - Phone:954-417-7575
Mailing Address - Fax:954-417-7587
Practice Address - Street 1:1212 E BROWARD BLVD STE 204
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-2121
Practice Address - Country:US
Practice Address - Phone:954-417-7575
Practice Address - Fax:954-417-7587
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2354632084P0800X
FLME1156702084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY235463Medicaid
NYOTH000Medicare UPIN