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NPI Code Detail

MEDICARE: SOUTH BROWARD HOSPITAL DISTRICT

MEDICARE: SOUTH 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
13336C0002XClinic Pharmacy
2332B00000XDurable Medical Equipment & Medical Supplies
3333600000XPharmacy
43336C0003XCommunity/Retail PharmacyPH22122FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22007094OTHERPK

General Provider Information

NPI Number : 1558473488
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH BROWARD HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 4105 PEMBROKE RD
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-8103
Country : US
Telephone Number : 954-265-8486
Fax Number : 954-985-4899
Provider Business Practice Location Address
First Line : 4105 PEMBROKE RD
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-8103
Country : US
Telephone Number : 954-265-8486
Fax Number : 954-985-4899
Authorized Official
Title or Position : INTERIM CHIEF FINANCIAL OFFICER
Name : IRFAN MIRZA
Credential :
Telephone Number : 954-265-5636
Provider Enumeration Date : 08/31/2006
Last Update Date : 12/23/2025

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Directions to “SOUTH BROWARD HOSPITAL DISTRICT ” Practice Location

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