Healthcare Provider Details

I. General information

NPI: 1043656614
Provider Name (Legal Business Name): SOUTH BROWARD HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2013
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9579 PREMIER PKWY
MIRAMAR FL
33025-3206
US

IV. Provider business mailing address

9579 PREMIER PKWY
MIRAMAR FL
33025-3206
US

V. Phone/Fax

Practice location:
  • Phone: 954-276-8388
  • Fax: 954-276-8399
Mailing address:
  • Phone: 954-276-8388
  • Fax: 954-276-8399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License NumberPH26978
License Number StateFL

VIII. Authorized Official

Name: IRFAN MIRZA
Title or Position: INTERIM CHIEF FINANCIAL OFFICER
Credential:
Phone: 954-265-5696