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General NPI Number Information
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NPI Number | 1629532767
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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 | 01/23/2019
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 1801 W SAMPLE RD STE 101
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City | DEERFIELD BEACH
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State | FL
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Zip | 33064-1370
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Country | US
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Telephone | 954-888-3508
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Fax | 954-784-1201
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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 | 954-888-3800
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Fax | 954-888-3808
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Authorized Official
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Title or Position | INTERIM CFO
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Name | ALISA BERT
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Credential |
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Telephone | 954-847-4117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) 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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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