Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 43971 | FL |
NPI | 1033108774 |
---|---|
Provider Name | Dr. Harold Jack Kaplan |
First Address | Venice, FL 34285-1701 |
Second Address | Venice, FL 34285-1701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2005 |
Last Update Date | 22/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D64539 | (02) | FL |