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 1:5130 LINTON BLVD STE C2
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6595
Mailing Address - Country:US
Mailing Address - Phone:561-922-6713
Mailing Address - Fax:561-922-3533
Practice Address - Street 1:5130 LINTON BLVD STE C2
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6595
Practice Address - Country:US
Practice Address - Phone:561-922-6713
Practice Address - Fax:561-922-3533
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2024-12-05
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