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General NPI Number Information
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NPI Number | 1538505086
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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 | 05/10/2013
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 1951 SW 172ND AVE STE 107
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City | MIRAMAR
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State | FL
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Zip | 33029
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Country | US
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Telephone | 954-538-4780
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Fax | 954-538-4799
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Provider Business Mailing Address
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Address Line | 1951 SW 172ND AVE SUITE 107
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City | MIRAMAR
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State | FL
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Zip | 33029-5613
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Country | US
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Telephone | 954-538-5550
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Fax | 954-538-5556
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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 | 333600000X
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Taxonomy Name | 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 | PH21083
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License Number State | FL
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