Individual
ELIZABETH SARDUY BAZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 325-5511
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 325-5511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11025401
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11025401
FL
Other
Enumeration date
03/27/2023
Last updated
02/16/2026
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