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General NPI Number Information
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NPI Number | 1144360991
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Entity Type | Organization
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Legal Business Name | SOUTH BROWARD HOSPITAL DISTRICT
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 1150 N 35TH AVE SUITE 105
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City | HOLLYWOOD
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State | FL
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Zip | 33021
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Country | US
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Telephone | 954-265-1299
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Fax | 954-276-0292
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Provider Business Mailing Address
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Address Line | 1150 N 35TH AVE SUITE 105
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City | HOLLYWOOD
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State | FL
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Zip | 33021
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Country | US
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Telephone | 954-265-1299
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Fax | 954-276-0292
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Authorized Official
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Title or Position | INTERIM CHIEF FINANCIAL OFFICER
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Name | IRFAN MIRZA
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Credential |
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Telephone | 954-265-5696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH8171
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License Number State | FL
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