Provider Demographics
NPI:1700154580
Name:KAREN FENDELL KAPLAN D.C. P.A.
Entity Type:Organization
Organization Name:KAREN FENDELL KAPLAN D.C. P.A.
Other - Org Name:CENTER FOR HOLISTIC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:FENDELL
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:772-567-7590
Mailing Address - Street 1:1785 14TH AVE
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-3607
Mailing Address - Country:US
Mailing Address - Phone:772-567-7590
Mailing Address - Fax:772-567-7616
Practice Address - Street 1:1785 14TH AVE
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-3607
Practice Address - Country:US
Practice Address - Phone:772-567-7590
Practice Address - Fax:772-567-7616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6454111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU33734Medicare UPIN