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NPI Code Detail

MEDICARE: SOUTH BROWARD HOSPITAL DISTRICT

MEDICARE: SOUTH BROWARD HOSPITAL DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063495836
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH BROWARD HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 2900 CORPORATE WAY
Second Line :
City : MIRAMAR
State : FL
Zip : 33025-3925
Country : US
Telephone Number : 954-276-5501
Fax Number : 954-602-2850
Provider Business Practice Location Address
First Line : 7800 SHERIDAN ST
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33024-2536
Country : US
Telephone Number : 954-962-9650
Fax Number : 954-602-2850
Authorized Official
Title or Position : DIRECTOR
Name : MELISSA ANN BURNS
Credential :
Telephone Number : 954-276-5401
Provider Enumeration Date : 11/25/2005
Last Update Date : 08/12/2022

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Directions to “SOUTH BROWARD HOSPITAL DISTRICT ” Practice Location

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