Healthcare Provider Details

I. General information

NPI: 1780754119
Provider Name (Legal Business Name): JUDITH KAPLAN C.N.M., A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9273 COLLINS AVE APT 409
SURFSIDE FL
33154-3036
US

IV. Provider business mailing address

9273 COLLINS AVE APT 409
SURFSIDE FL
33154-3036
US

V. Phone/Fax

Practice location:
  • Phone: 305-731-3890
  • Fax: 866-975-6666
Mailing address:
  • Phone: 305-731-3890
  • Fax: 866-975-6666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number9216844
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number9216844
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number9216844
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: