Healthcare Provider Details

I. General information

NPI: 1295680205
Provider Name (Legal Business Name): NORTH BROWARD HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E SAMPLE RD STE 200
POMPANO BEACH FL
33064-3554
US

IV. Provider business mailing address

1608 SE 3RD AVE FL 3
FORT LAUDERDALE FL
33316-2564
US

V. Phone/Fax

Practice location:
  • Phone: 954-786-2420
  • Fax: 954-888-3556
Mailing address:
  • Phone: 954-786-2420
  • Fax: 954-888-3556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: KRYSTLE MARTIN
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 954-473-7420