Healthcare Provider Details

I. General information

NPI: 1164221412
Provider Name (Legal Business Name): BROWARD COMMUNITY AND FAMILY HEALTH CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 NORTH POWERLINE ROAD MDU1
POMPANO BEACH FL
33069-2514
US

IV. Provider business mailing address

5010-5012 HOLLYWOOD BLVD
HOLLYWOOD FL
33021
US

V. Phone/Fax

Practice location:
  • Phone: 954-970-7067
  • Fax:
Mailing address:
  • Phone: 954-266-2999
  • Fax:

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: CEO
Credential:
Phone: 954-266-2999