Healthcare Provider Details

I. General information

NPI: 1083555973
Provider Name (Legal Business Name): MARISOL ALBUERNE MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8201 W BROWARD BLVD
PLANTATION FL
33324-2701
US

IV. Provider business mailing address

4302 HOLLYWOOD BLVD PMB #192
HOLLYWOOD FL
33021
US

V. Phone/Fax

Practice location:
  • Phone: 754-544-1074
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: MARISOL ALBUERNE
Title or Position: OWNER
Credential: MD
Phone: 954-908-5992