Provider Demographics
NPI:1316984909
Name:KAPLAN, TED ADAM (MD)
Entity type:Individual
Prefix:DR
First Name:TED
Middle Name:ADAM
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4804 EDGEWATER DR STE B
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-1126
Mailing Address - Country:US
Mailing Address - Phone:407-290-3344
Mailing Address - Fax:877-767-4236
Practice Address - Street 1:4804 EDGEWATER DR STE B
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-1126
Practice Address - Country:US
Practice Address - Phone:407-290-3344
Practice Address - Fax:877-767-4236
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME51557208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL118649300Medicaid