Provider Demographics
NPI:1619468154
Name:MLYNARCZYK, ANNA MARIA
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:MARIA
Last Name:MLYNARCZYK
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ANNA
Other - Middle Name:MARIA
Other - Last Name:SCHUERNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1611 NW 12TH AVE, JACKSON MEMORIAL HOSPITAL, CRITICAL C
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136
Mailing Address - Country:US
Mailing Address - Phone:305-585-1191
Mailing Address - Fax:
Practice Address - Street 1:1611 NW 12TH AVE, JACKSON MEMORIAL HOSPITAL, CRITICAL C
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:305-585-1191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-21
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program