Healthcare Provider Details

I. General information

NPI: 1750474631
Provider Name (Legal Business Name): NORTH BROWARD HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 05/11/2020
Certification Date: 05/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E SAMPLE RD
POMPANO BEACH FL
33064-3502
US

IV. Provider business mailing address

PO BOX 862851
ORLANDO FL
32886-2851
US

V. Phone/Fax

Practice location:
  • Phone: 954-941-8300
  • Fax: 954-847-4245
Mailing address:
  • Phone: 954-847-4273
  • Fax: 954-847-4245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: GINO SANTORIO
Title or Position: PRESIDENT/CEO
Credential:
Phone: 954-473-7052