Kenneth, Arline Maiella

Kenneth, Arline Maiella is an individual health care provider with primary practice located at 1761 Bay Dr , Miami Beach FL 33141-4719. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Kenneth, Arline Maiella can be contacted via phone (786) 210-1753.

Contact Information

Primary practice address
1761 Bay Dr Miami Beach FL 33141-4719
Phone: (786) 210-1753
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME105268 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME105268 Florida

Profile Details

NPI number 1386835163
LBN Legal business name Kenneth, Arline Maiella
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2007
Last updated Jan 8th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386835163 NPPES
Florida MEDICAID 003743000

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