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	273R00000X	Psychiatric Hospital Unit	3996	FL

General Provider Information

NPI Number	:	1568490506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH BROWARD HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 932540
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	31193-2540
Country	:	US
Telephone Number	:	954-847-4315
Fax Number	:	954-847-4270

Provider Business Practice Location Address
First Line	:	6401 N FEDERAL HWY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-1427
Country	:	US
Telephone Number	:	954-776-8500
Fax Number	:	954-847-4270

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

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	05/10/2024

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