Provider Demographics
NPI:1386974814
Name:LADUZINSKI, ELIZABETH GABRIELA (MS)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:GABRIELA
Last Name:LADUZINSKI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19300 WEST DIXIE HIGHWAY
Mailing Address - Street 2:SUITE #2
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180
Mailing Address - Country:US
Mailing Address - Phone:305-936-8960
Mailing Address - Fax:305-935-0198
Practice Address - Street 1:19300 WEST DIXIE HIGHWAY
Practice Address - Street 2:SUITE #2
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33180
Practice Address - Country:US
Practice Address - Phone:786-554-0198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7925101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health