Individual
ALBA MARINA O' BOURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD.
Contact information
Practice address
4155 SW 130TH AVE, #102, MIAMI, FL 33175-3414
(305) 223-3580
(305) 223-3582
Mailing address
1611 CORAL GATE DR, MIAMI, FL 33145-1837
(305) 441-9362
(305) 441-9362
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME90672
FL
Other
Enumeration date
07/22/2006
Last updated
09/23/2021
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