Healthcare Provider Details

I. General information

NPI: 1346860152
Provider Name (Legal Business Name): MARWAN ARAIM DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2020
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13320 SW 234TH TER
HOMESTEAD FL
33032-6396
US

IV. Provider business mailing address

13320 SW 234TH TER
HOMESTEAD FL
33032-6396
US

V. Phone/Fax

Practice location:
  • Phone: 516-710-9495
  • Fax:
Mailing address:
  • Phone: 516-710-9495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberOS22574
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: