Healthcare Provider Details

I. General information

NPI: 1104425669
Provider Name (Legal Business Name): ALINA POLL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2020
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4302 W BROWARD BLVD
PLANTATION FL
33317-3780
US

IV. Provider business mailing address

1000 NW 57TH CT STE 400
MIAMI FL
33126-3292
US

V. Phone/Fax

Practice location:
  • Phone: 954-644-8902
  • Fax: 877-967-5710
Mailing address:
  • Phone: 786-758-3165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11012949
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF09200327
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: