Healthcare Provider Details

I. General information

NPI: 1881930691
Provider Name (Legal Business Name): SOUTH BROWARD HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2012
Last Update Date: 01/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 JOHNSON ST ATTN: PHARMACY DEPARTMENT
HOLLYWOOD FL
33021-5421
US

IV. Provider business mailing address

3501 JOHNSON ST ATTN: PHARMACY DEPARTMENT
HOLLYWOOD FL
33021-5421
US

V. Phone/Fax

Practice location:
  • Phone: 954-955-2207
  • Fax:
Mailing address:
  • Phone: 954-955-2207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number
License Number State

VIII. Authorized Official

Name: MR. ZEFF ROSS
Title or Position: SR. VP & CEO
Credential:
Phone: 954-265-5814