Healthcare Provider Details

I. General information

NPI: 1912816802
Provider Name (Legal Business Name): ORRA PSYCHIATRY GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19790 W DIXIE HWY PH 3
MIAMI FL
33180-2695
US

IV. Provider business mailing address

19790 W DIXIE HWY PH 3
MIAMI FL
33180-2695
US

V. Phone/Fax

Practice location:
  • Phone: 305-498-0190
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: AARON BENJAMIN MARBIN
Title or Position: CEO
Credential: DO
Phone: 305-498-0190