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General NPI Number Information
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NPI Number | 1194311456
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Entity Type | Organization
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Legal Business Name | NORTH BROWARD HOSPITAL DISTRICT
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Dates
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Enumeration Date | 12/21/2020
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Last Update Date | 03/29/2024
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Provider Practice Location Address
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Address Line | 1600 S ANDREWS AVE STE 103
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-2510
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Country | US
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Telephone | 954-848-8140
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Fax | 954-848-8141
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Provider Business Mailing Address
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Address Line | 1700 NW 49TH ST STE 125
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-3750
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Country | US
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Telephone | 954-848-8140
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Fax | 954-848-8141
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Authorized Official
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Title or Position | INTERIM CFO
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Name | ALISA BERT
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Credential |
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Telephone | 954-847-4117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number |
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License Number State |
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