Provider Demographics
NPI:1306257704
Name:KAPLAN, MICHAEL STARK (DPT)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:STARK
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1870 ALOMA AVE
Mailing Address - Street 2:STE 280
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-4000
Mailing Address - Country:US
Mailing Address - Phone:407-637-5856
Mailing Address - Fax:
Practice Address - Street 1:1870 ALOMA AVE
Practice Address - Street 2:STE 280
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-4000
Practice Address - Country:US
Practice Address - Phone:407-637-5856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-19
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT28302225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist