Healthcare Provider Details

I. General information

NPI: 1164628830
Provider Name (Legal Business Name): KEVIN M KAPLAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2007
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 SAN MARCO BLVD STE 200
JACKSONVILLE FL
32207-8566
US

IV. Provider business mailing address

PO BOX 112727
GAINESVILLE FL
32611-2727
US

V. Phone/Fax

Practice location:
  • Phone: 904-346-3465
  • Fax: 904-396-0388
Mailing address:
  • Phone: 352-273-7002
  • Fax: 352-273-7388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME104051
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberME104051
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: