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
1	204F00000X	Transplant Surgery Physician
2	207RS0010X	Sports Medicine (Internal Medicine) Physician
3	207RG0100X	Gastroenterology Physician
4	213ES0103X	Foot & Ankle Surgery Podiatrist
5	207T00000X	Neurological Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00020	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114955176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH BROWARD HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	1608 SE 3RD AVE FL 3
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2564
Country	:	US
Telephone Number	:	954-763-6655
Fax Number	:	954-763-6799

Provider Business Practice Location Address
First Line	:	1601 S ANDREWS AVE FL 3
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2509
Country	:	US
Telephone Number	:	954-763-6665
Fax Number	:	954-763-6799

Authorized Official
Title or Position	:	CFO
Name	:	ALISA BERT
Credential	:
Telephone Number	:	954-847-4117

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	10/15/2025

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1306874342 — NORTH BROWARD HOSPITAL DISTRICT
Practice Location Address:

1601 S ANDREWS AVE FL 3
FORT LAUDERDALE, FL
33316-2509

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Practice Fax: 954-320-3371

Directions to “NORTH BROWARD HOSPITAL DISTRICT ” Practice Location

Language	Start Address	Practice Location

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