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General NPI Number Information
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NPI Number | 1932048410
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Entity Type | Organization
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Legal Business Name | COLUMBIA HOSPITAL CORPORATION OF SOUTH BROWARD
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Dates
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Enumeration Date | 03/27/2026
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Last Update Date | 03/27/2026
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Provider Practice Location Address
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Address Line | 4610 PEA RIDGE CONNECTOR RD
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City | PACE
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State | FL
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Zip | 32571-2797
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Country | US
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Telephone | 850-304-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 4610 PEA RIDGE CONNECTOR RD
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City | PACE
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State | FL
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Zip | 32571-2797
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Country | US
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Telephone | 850-304-0600
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KARL LEISTIKOW
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Credential |
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Telephone | 850-494-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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