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	261QF0400X	Federally Qualified Health Center (FQHC)
2	207V00000X	Obstetrics & Gynecology Physician

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	:	1730946609
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH BROWARD HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	1608 SE 3RD AVE FL 3
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2564
Country	:	US
Telephone Number	:	954-759-7599
Fax Number	:	954-888-3813

Provider Business Practice Location Address
First Line	:	3736 W OAKLAND PARK BLVD
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33311-1157
Country	:	US
Telephone Number	:	954-759-7599
Fax Number	:	954-888-3813

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

Provider Enumeration Date	:	03/06/2024
Last Update Date	:	02/18/2026

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Directions to “NORTH BROWARD HOSPITAL DISTRICT ” Practice Location

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