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General NPI Number Information
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NPI Number | 1972897023
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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 | 06/07/2011
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1 W SAMPLE RD STE 104
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City | DEERFIELD 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 | 954-786-5151
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Fax | 954-786-7339
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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 | 954-786-5151
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Fax |
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology 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 | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number |
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License Number State |
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