Provider Demographics
NPI:1912258690
Name:NAYDA L KUBSKI MD PA
Entity Type:Organization
Organization Name:NAYDA L KUBSKI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:NAYDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:KUBSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-683-8400
Mailing Address - Street 1:2001 PALM BEACH LAKES BLVD
Mailing Address - Street 2:STE 501
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-6510
Mailing Address - Country:US
Mailing Address - Phone:561-683-8400
Mailing Address - Fax:
Practice Address - Street 1:2001 PALM BEACH LAKES BLVD
Practice Address - Street 2:STE 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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-21
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME384162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL266802500Medicaid
FL266802500Medicaid