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
1	3336S0011X	Specialty Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PH8171	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2010548	OTHER	PK

General Provider Information

NPI Number	:	1144360991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH BROWARD HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	1150 N 35TH AVE
Second Line	:	SUITE 105
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021
Country	:	US
Telephone Number	:	954-265-1299
Fax Number	:	954-276-0292

Provider Business Practice Location Address
First Line	:	1150 N 35TH AVE
Second Line	:	SUITE 105
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021
Country	:	US
Telephone Number	:	954-265-1299
Fax Number	:	954-276-0292

Authorized Official
Title or Position	:	INTERIM CHIEF FINANCIAL OFFICER
Name	:	IRFAN MIRZA
Credential	:
Telephone Number	:	954-265-5696

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	12/23/2025

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Directions to “SOUTH BROWARD HOSPITAL DISTRICT ” Practice Location

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