Basic Information
| Provider Information | |||||||||
| NPI: | 1407810476 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KAPLAN | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | DAVID | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9500 S DADELAND BLVD STE 200 | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331562866 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3054684185 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2800 S SEACREST BLVD STE 240 | ||||||||
| Address2: | |||||||||
| City: | BOYNTON BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334357946 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5617329200 | ||||||||
| FaxNumber: | 5617349240 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/14/2006 | ||||||||
| LastUpdateDate: | 05/24/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | 9400086 | NC | N | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology | 207R00000X | 9400086 | NC | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RG0100X | ME132562 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
ID Information
| ID | Type | State | Issuer | Description | 021891700 | 05 | FL | MEDICAID | 43651 | 01 | NC | MEDCOST | OTHER | 894779P | 05 | NC | MEDICAID | 4077197 | 01 | NC | AETNA | OTHER | 4779P | 01 | NC | BCBS NC | OTHER | 5423 | 01 | NC | PARTNERS MEDICARE | OTHER |