Healthcare Provider Details

I. General information

NPI: 1831135565
Provider Name (Legal Business Name): NORTH BROWARD HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 04/01/2024
Certification Date: 04/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 N COMMERCE PKWY STE 101
WESTON FL
33326-3255
US

IV. Provider business mailing address

1700 NW 49TH ST STE 125
FORT LAUDERDALE FL
33309-3763
US

V. Phone/Fax

Practice location:
  • Phone: 954-217-3305
  • Fax: 954-217-5778
Mailing address:
  • Phone: 954-217-3305
  • Fax: 954-217-5778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License NumberJR 37121000
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License NumberJR 37120000
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number10428
License Number StateFL

VIII. Authorized Official

Name: ALISA BERT
Title or Position: INTERIM CFO
Credential:
Phone: 954-847-4117