Provider Demographics
NPI:1225389166
Name:SHERRIE ANN BIENIEK, MD PA
Entity Type:Organization
Organization Name:SHERRIE ANN BIENIEK, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERRIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BIENIEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-412-6034
Mailing Address - Street 1:9995 SW 72ND ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4662
Mailing Address - Country:US
Mailing Address - Phone:305-412-6034
Mailing Address - Fax:305-412-6686
Practice Address - Street 1:9995 SW 72ND ST
Practice Address - Street 2:SUITE 208
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4662
Practice Address - Country:US
Practice Address - Phone:305-412-6034
Practice Address - Fax:305-412-6686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-01
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00658102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL251096100Medicaid