Healthcare Provider Details

I. General information

NPI: 1013345149
Provider Name (Legal Business Name): BROWARD COMMUNITY AND FAMILY HEALTH CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2013
Last Update Date: 03/23/2021
Certification Date: 03/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1295 NW 40TH AVE #200
LAUDERHILL FL
33313
US

IV. Provider business mailing address

5010 HOLLYWOOD BLVD 100B
HOLLYWOOD FL
33021-6557
US

V. Phone/Fax

Practice location:
  • Phone: 954-583-4710
  • Fax: 954-583-4711
Mailing address:
  • Phone: 954-967-0028
  • Fax: 959-272-0294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: ROSALYN FRAZIER
Title or Position: PRESIDENT/CEO
Credential:
Phone: 305-967-0028