Provider Demographics
NPI:1619311552
Name:SZKOLNIK, RAQUEL (CRNA)
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:
Last Name:SZKOLNIK
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 BRICKELL BAY DR
Mailing Address - Street 2:APT 902
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-3931
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:950 BRICKELL BAY DR
Practice Address - Street 2:APT 902
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-3931
Practice Address - Country:US
Practice Address - Phone:786-253-9748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-22
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9279189367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered