Provider Demographics
NPI:1811269467
Name:CARLOS SZAJNERT MD P A
Entity type:Organization
Organization Name:CARLOS SZAJNERT MD P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:SZAJNERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-438-7689
Mailing Address - Street 1:15343 SW 21ST ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4382
Mailing Address - Country:US
Mailing Address - Phone:954-438-7689
Mailing Address - Fax:954-433-9832
Practice Address - Street 1:14601 SW 29TH ST
Practice Address - Street 2:STE B-1-A.
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4712
Practice Address - Country:US
Practice Address - Phone:954-438-7689
Practice Address - Fax:954-433-9832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-29
Last Update Date:2012-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME80292207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty