MEDICARE: NORTH 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
1	207XS0106X	Orthopaedic Hand Surgery Physician
2	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1104697291
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH BROWARD HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	1700 NW 49TH ST STE 125
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3750
Country	:	US
Telephone Number	:	954-473-7642
Fax Number	:	954-473-7686

Provider Business Practice Location Address
First Line	:	6333 N FEDERAL HWY STE 250
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-1910
Country	:	US
Telephone Number	:	954-776-8580
Fax Number	:	954-776-8588

Authorized Official
Title or Position	:	INTERIM CFO
Name	:	ALISA BERT
Credential	:
Telephone Number	:	954-473-7483

Provider Enumeration Date	:	01/09/2024
Last Update Date	:	01/28/2025

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Directions to “NORTH BROWARD HOSPITAL DISTRICT ” Practice Location

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