Provider Demographics
NPI:1992085807
Name:KAPLAN, STACEY
Entity type:Individual
Prefix:
First Name:STACEY
Middle Name:
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 1:11189 HARBOUR SPRINGS CIR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-1246
Mailing Address - Country:US
Mailing Address - Phone:561-482-3153
Mailing Address - Fax:561-482-5512
Practice Address - Street 1:11189 HARBOUR SPRINGS CIR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-1246
Practice Address - Country:US
Practice Address - Phone:561-482-3153
Practice Address - Fax:561-482-5512
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-23
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist