Provider Demographics
NPI:1386198000
Name:GERZENY, VIKTORIA
Entity Type:Individual
Prefix:
First Name:VIKTORIA
Middle Name:
Last Name:GERZENY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 BAYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:NOKOMIS
Mailing Address - State:FL
Mailing Address - Zip Code:34275-3002
Mailing Address - Country:US
Mailing Address - Phone:941-223-9960
Mailing Address - Fax:
Practice Address - Street 1:124 BAYVIEW DR
Practice Address - Street 2:
Practice Address - City:NOKOMIS
Practice Address - State:FL
Practice Address - Zip Code:34275-3002
Practice Address - Country:US
Practice Address - Phone:941-223-9960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-10
Last Update Date:2023-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH21552101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health