Healthcare Provider Details
I. General information
NPI: 1215505482
Provider Name (Legal Business Name): BRITTANY ALEXANDRA MARINELLI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/15/2021
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
21110 BISCAYNE BLVD STE 312
AVENTURA FL
33180-1229
US
IV. Provider business mailing address
21110 BISCAYNE BLVD STE 312
AVENTURA FL
33180-1229
US
V. Phone/Fax
- Phone: 305-933-3030
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | ME175367 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: