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	207R00000X	Internal Medicine 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
2	00020	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1972750321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH BROWARD HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 862851
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32886-2851
Country	:	US
Telephone Number	:	954-847-4273
Fax Number	:	954-847-4245

Provider Business Practice Location Address
First Line	:	1529 SE 4TH AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2541
Country	:	US
Telephone Number	:	954-712-9993
Fax Number	:	954-712-9934

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. FRANK P NASK
Credential	:
Telephone Number	:	954-355-2064

Provider Enumeration Date	:	08/27/2008
Last Update Date	:	12/09/2008

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Directions to “NORTH BROWARD HOSPITAL DISTRICT ” Practice Location

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