Basic Information
Provider Information
NPI: 1780754119
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAPLAN
FirstName: JUDITH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: C.N.M., A.R.N.P.
OtherOrganizationName:  
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OtherLastName:  
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OtherCredential:  
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Mailing Information
Address1: 1515 N FLAGLER DR
Address2: SUITE 700
City: WEST PALM BEACH
State: FL
PostalCode: 334013428
CountryCode: US
TelephoneNumber: 5616553331
FaxNumber: 5618025391
Practice Location
Address1: 1515 N FLAGLER DR
Address2: SUITE 700
City: WEST PALM BEACH
State: FL
PostalCode: 334013428
CountryCode: US
TelephoneNumber: 5616553331
FaxNumber: 5618025391
Other Information
ProviderEnumerationDate: 11/09/2006
LastUpdateDate: 12/20/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X9216844FLN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
367A00000X9216844FLY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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