Individual
DR. ROBERT L. MAIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 E DIXIE AVE, LEESBURG, FL 34748-5925
(352) 273-9860
(352) 294-8035
Mailing address
PO BOX 223730, GAINESVILLE, FL 32611-0001
(352) 273-9860
(352) 294-8035
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME60568
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05606690
—
FL
01
—
12890
BLUE CROSS BLUE SHEILD
FL
01
—
250011577
PALMETTO GBA RAILROAD MCR
FL
01
—
5700283
AETNA
FL
01
—
593656451
UNITEDHEALTHCARE
FL
Enumeration date
05/24/2005
Last updated
03/17/2022
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