=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578761995
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NORTH BROWARD HOSPITAL DISTRICT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/06/2007
-----------------------------------------------------
Last Update Date | 10/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1600 S ANDREWS AVE
-----------------------------------------------------
City | FORT LAUDERDALE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33316-2510
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-355-5500
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 24587
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10087-3787
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-847-4315
-----------------------------------------------------
Fax | 954-847-4270
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SVP CFO
-----------------------------------------------------
Name | ALISA BERT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 954-473-7483
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 273R00000X
-----------------------------------------------------
Taxonomy Name | Psychiatric Hospital Unit
-----------------------------------------------------
License Number | 4128
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------