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General NPI Number Information
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NPI Number | 1548804123
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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 | 11/06/2019
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Last Update Date | 05/25/2021
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Provider Practice Location Address
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Address Line | 1 W SAMPLE RD STE 303
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City | POMPANO 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 | 954-888-3400
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Fax | 954-784-1202
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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 | 954-888-3400
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Fax | 954-784-1202
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Authorized Official
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Title or Position | SVP/CFO
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Name | ALEXANDER FERNANDEZ
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Credential |
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Telephone | 954-473-7315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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