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General NPI Number Information
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NPI Number | 1346037561
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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 | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 1 W SAMPLE RD STE 201
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City | DEERFIELD BEACH
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State | FL
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Zip | 33064-3547
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Country | US
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Telephone | 954-876-2575
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Fax | 954-888-3902
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Provider Business Mailing Address
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Address Line | 1608 SE 3RD AVE FL 3
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-2564
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Country | US
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Telephone | 954-876-2575
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Fax | 954-888-3902
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Authorized Official
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Title or Position | AMBULATORY CFO
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Name | KRYSTLE MARTIN
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Credential |
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Telephone | 954-473-7420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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