Healthcare Provider Details

I. General information

NPI: 1053807024
Provider Name (Legal Business Name): YAIMA ARZOLA CBHCMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2018
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12001 SW 128TH CT STE 205
MIAMI FL
33186-4666
US

IV. Provider business mailing address

4316 SUMMIT CREEK BLVD APT 3204
ORLANDO FL
32837-5588
US

V. Phone/Fax

Practice location:
  • Phone: 786-355-7251
  • Fax:
Mailing address:
  • Phone: 786-355-7251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: