Healthcare Provider Details

I. General information

NPI: 1922018290
Provider Name (Legal Business Name): ANA BARANAUSKA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10401 SW 40 ST
MIAMI FL
33165
US

IV. Provider business mailing address

8190 SW 166 ST
MIAMI FL
33157
US

V. Phone/Fax

Practice location:
  • Phone: 305-222-2000
  • Fax: 302-553-5952
Mailing address:
  • Phone: 305-251-5639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME21453
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME21453
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: