Provider Demographics
NPI:1356545438
Name:EDENS & KAPLAN PL
Entity type:Organization
Organization Name:EDENS & KAPLAN PL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:EDENS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:941-907-9663
Mailing Address - Street 1:8430 ENTERPRISE CIR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-4107
Mailing Address - Country:US
Mailing Address - Phone:941-907-9663
Mailing Address - Fax:941-907-6663
Practice Address - Street 1:8430 ENTERPRISE CIR
Practice Address - Street 2:SUITE 120
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-4107
Practice Address - Country:US
Practice Address - Phone:941-907-9663
Practice Address - Fax:941-907-6663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7915111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55950AMedicare PIN