Individual
MADELINE ETKIN MLYNCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.S.
Contact information
Practice address
15155 SW 97TH AVE STE 100, MIAMI, FL 33176-0049
(305) 689-7272
(305) 689-7273
Mailing address
15155 SW 97TH AVE STE 100, MIAMI, FL 33176-0049
(305) 689-7272
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
333698
LA
207R00000X
Internal Medicine Physician
ME163833
FL
208000000X
Pediatrics Physician
333698
LA
208000000X
Pediatrics Physician
Primary
ME163833
FL
Other
Enumeration date
03/19/2019
Last updated
11/10/2023
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