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
1	3336C0004X	Compounding Pharmacy
2	333600000X	Pharmacy
3	3336L0003X	Long Term Care Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2010154	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386988806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH BROWARD HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	3600 WASHINGTON ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-8216
Country	:	US
Telephone Number	:	954-265-5501
Fax Number	:	954-985-5194

Provider Business Practice Location Address
First Line	:	777 S DOUGLAS RD
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33025-1353
Country	:	US
Telephone Number	:	954-518-5670
Fax Number	:	954-581-2185

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

Provider Enumeration Date	:	11/21/2012
Last Update Date	:	12/23/2025

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Directions to “SOUTH BROWARD HOSPITAL DISTRICT ” Practice Location

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