Provider Demographics
NPI:1174157911
Name:SADURNI RODRIGUEZ, GABRIELA NATALIA (PSYD)
Entity type:Individual
Prefix:DR
First Name:GABRIELA
Middle Name:NATALIA
Last Name:SADURNI RODRIGUEZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 E OAKLAND PARK BLVD STE 502
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33306-1617
Mailing Address - Country:US
Mailing Address - Phone:954-448-2933
Mailing Address - Fax:
Practice Address - Street 1:2601 E OAKLAND PARK BLVD STE 502
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33306-1617
Practice Address - Country:US
Practice Address - Phone:954-448-2933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY10619103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical