Healthcare Provider Details
I. General information
NPI: 1609008846
Provider Name (Legal Business Name): NORTH BROWARD HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/21/2009
Last Update Date: 08/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1600 S ANDREWS AVE
FORT LAUDERDALE FL
33316-2510
US
IV. Provider business mailing address
PO BOX 862851
ORLANDO FL
32886-2851
US
V. Phone/Fax
- Phone: 954-355-4527
- Fax: 954-468-5251
- Phone: 954-847-4273
- Fax: 954-847-4245
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FRANK
P
NASK
Title or Position: PRESIDENT/CEO
Credential:
Phone: 954-355-5064