Provider Demographics
NPI:1972560720
Name:KAPULSKEY, SCOTT EVAN (MD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:EVAN
Last Name:KAPULSKEY
Suffix:
Gender:
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:PO BOX 850001, DEPT 8340
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32885-0001
Mailing Address - Country:US
Mailing Address - Phone:813-536-7277
Mailing Address - Fax:855-830-1722
Practice Address - Street 1:2780 E BAY DR
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-2469
Practice Address - Country:US
Practice Address - Phone:727-535-3489
Practice Address - Fax:866-878-4914
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME108182207Q00000X, 207QG0300X, 207QG0300X
NJMA05001100207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002803600Medicaid
FLDV024WMedicare UPIN
E22084Medicare UPIN