MEDICARE: NORTH BROWARD HOSPITAL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457610115
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH BROWARD HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	1700 NW 49TH ST STE 125
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3750
Country	:	US
Telephone Number	:	954-320-3323
Fax Number	:	954-753-6377

Provider Business Practice Location Address
First Line	:	9663 WESTVIEW DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-2513
Country	:	US
Telephone Number	:	954-320-3323
Fax Number	:	954-753-6377

Authorized Official
Title or Position	:	INTERIM CFO
Name	:	ALISA BERT
Credential	:
Telephone Number	:	954-473-7483

Provider Enumeration Date	:	05/15/2012
Last Update Date	:	05/10/2024

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Directions to “NORTH BROWARD HOSPITAL DISTRICT ” Practice Location

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