Provider Demographics
NPI:1366652356
Name:KAPLAN, JULIE (LIC AP, LMT)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:LIC AP, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2818 48TH ST S
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33711-3620
Mailing Address - Country:US
Mailing Address - Phone:727-327-3379
Mailing Address - Fax:
Practice Address - Street 1:2818 48TH ST S
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:FL
Practice Address - Zip Code:33711-3620
Practice Address - Country:US
Practice Address - Phone:727-327-3379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA13924225700000X
FLAP1448171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Not Answered171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC0876OtherBCBS