Provider Demographics
NPI:1194802132
Name:KUBSKI, NAYDA LAVINIA (MD)
Entity type:Individual
Prefix:DR
First Name:NAYDA
Middle Name:LAVINIA
Last Name:KUBSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7742 SPRING CREEK DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-5791
Mailing Address - Country:US
Mailing Address - Phone:561-686-2401
Mailing Address - Fax:561-686-2402
Practice Address - Street 1:2001 PALM BEACH LAKES BLVD
Practice Address - Street 2:SUIT 501
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6510
Practice Address - Country:US
Practice Address - Phone:561-683-8400
Practice Address - Fax:561-683-8900
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME384162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL62345Medicare ID - Type Unspecified
FLD57416Medicare UPIN