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NPI Code Detail

MEDICARE: NORTH BROWARD HOSPITAL DISTRICT

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
1208600000XSurgery Physician
2207Q00000XFamily Medicine Physician
32086X0206XSurgical Oncology Physician
4261Q00000XClinic/Center

Other Identifiers

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

General Provider Information

NPI Number : 1609496843
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 : 954-217-2680
Fax Number : 954-217-2685
Provider Business Practice Location Address
First Line : 2300 N COMMERCE PKWY STE 108
Second Line :
City : WESTON
State : FL
Zip : 33326-3255
Country : US
Telephone Number : 954-217-2680
Fax Number : 954-217-2685
Authorized Official
Title or Position : SVP/CFO
Name : ALISA BERT
Credential :
Telephone Number : 954-473-7483
Provider Enumeration Date : 04/17/2020
Last Update Date : 02/02/2026

Similar Medicare Providers

1013951839 — MARC E BOSEM MD
Practice Location Address:
2300 N COMMERCE PARKWAY , SUITE 201
WESTON, FL
33326-3255
Practice Phone: 954-217-6500
Practice Fax: 954-217-6506
1831135565 — NORTH BROWARD HOSPITAL DISTRICT
Practice Location Address:
2300 N COMMERCE PKWY STE 101
WESTON, FL
33326-3255
Practice Phone: 954-217-3305
Practice Fax: 954-217-5778
1477764207 — SISSI COSSIO MD
Practice Location Address:
2300 N COMMERCE PKWY STE 113
WESTON, FL
33326-3255
Practice Phone: 954-217-5720
Practice Fax: 954-217-6110
1881863363 — MISS MELISSA MARBALLIE FNP
Practice Location Address:
2300 N COMMERCE PKWY STE 103
WESTON, FL
33326-3255
Practice Phone: 954-217-5700
Practice Fax: 954-217-5704
1093977902 — MS. MELISSA EDWARDS APRN
Practice Location Address:
2300 N COMMERCE PKWY STE 103
WESTON, FL
33326-3255
Practice Phone: 954-217-5700
Practice Fax: 954-217-5704
1528329943 — JANET REVILLA ARNP
Practice Location Address:
2300 N COMMERCE PKWY STE 103
WESTON, FL
33326-3255
Practice Phone: 954-217-5700
Practice Fax: 954-217-5704

Directions to “NORTH BROWARD HOSPITAL DISTRICT ” Practice Location

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