MEDICARE: JAYME KAPLAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	16431	FL

General Provider Information

NPI Number	:	1043876907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAYME KAPLAN

Provider Business Mailing Address
First Line	:	9970 CHIANA CIR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-5403
Country	:	US
Telephone Number	:	941-661-6453
Fax Number	:

Provider Business Practice Location Address
First Line	:	15050 ELDERBERRY LN
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-8504
Country	:	US
Telephone Number	:	508-269-0252
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2019
Last Update Date	:	05/16/2019

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Directions to “ JAYME KAPLAN ” Practice Location

Language	Start Address	Practice Location

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