Healthcare Provider Details

I. General information

NPI: 1972560720
Provider Name (Legal Business Name): SCOTT EVAN KAPULSKEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2780 E BAY DR
LARGO FL
33771-2469
US

IV. Provider business mailing address

PO BOX 850001, DEPT 8340
ORLANDO FL
32885-0001
US

V. Phone/Fax

Practice location:
  • Phone: 727-535-3489
  • Fax: 866-878-4914
Mailing address:
  • Phone: 813-536-7277
  • Fax: 855-830-1722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME108182
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: