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General NPI Number Information
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NPI Number | 1558473488
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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 | 08/31/2006
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 4105 PEMBROKE RD
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City | HOLLYWOOD
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State | FL
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Zip | 33021-8103
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Country | US
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Telephone | 954-265-8486
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Fax | 954-985-4899
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Provider Business Mailing Address
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Address Line | 4105 PEMBROKE RD
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City | HOLLYWOOD
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State | FL
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Zip | 33021-8103
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Country | US
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Telephone | 954-265-8486
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Fax | 954-985-4899
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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 | 954-265-5636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic 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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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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 #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH22122
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License Number State | FL
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