Healthcare Provider Details

I. General information

NPI: 1720936792
Provider Name (Legal Business Name): NORTH BROWARD HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5360 N FEDERAL HWY
LIGHTHOUSE POINT FL
33064-7068
US

IV. Provider business mailing address

1700 NW 49TH ST STE 125
FORT LAUDERDALE FL
33309-3750
US

V. Phone/Fax

Practice location:
  • Phone: 954-786-6950
  • Fax: 954-786-5174
Mailing address:
  • Phone: 954-786-6950
  • Fax: 954-786-5174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL CORNHELS
Title or Position: CFO
Credential:
Phone: 954-473-7483