Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | OS-9129 | FL |
NPI | 1336188770 |
---|---|
Provider Name | Dr. Marc G Kaprow |
First Address | Davie, FL 33329-2083 |
Second Address | Fort Lauderdale, FL 33309-6349 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 23/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
273485100 | (05) | FL |
H70940 | (02) | FL |