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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
1207R00000XInternal Medicine Physician
2207V00000XObstetrics & Gynecology Physician
3261QF0400XFederally Qualified Health Center (FQHC)

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 : 1669884854
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH BROWARD HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 1700 NW 49TH ST STE 125
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33309-3750
Country : US
Telephone Number : 954-759-7557
Fax Number :
Provider Business Practice Location Address
First Line : 3716 W OAKLAND PARK BLVD
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33311-1134
Country : US
Telephone Number : 954-759-7557
Fax Number : 954-733-9155
Authorized Official
Title or Position : INTERIM CFO
Name : ALISA BERT
Credential :
Telephone Number : 954-847-4117
Provider Enumeration Date : 05/22/2014
Last Update Date : 10/15/2024

Similar Medicare Providers

1629060140 — DR. ROBERT SCHICKLER M.D.
Practice Location Address:
3716 W OAKLAND PARK BLVD
LAUDERDALE LAKES, FL
33311-1134
Practice Phone: 954-759-7557
Practice Fax: 954-733-9155
1831153733 — KIM D JOLLY ARNP
Practice Location Address:
3716 W OAKLAND PARK BLVD
LAUDERDALE LAKES, FL
33311-1134
Practice Phone: 954-759-7557
Practice Fax: 954-733-9155
1619727229 — TRENIA SLAYDEN APRN
Practice Location Address:
3716 W OAKLAND PARK BLVD
LAUDERDALE LAKES, FL
33311-1134
Practice Phone: 954-759-7557
Practice Fax: 954-733-9155
1578559902 — ST JOHNS REHABILITATION HOSPITAL AND NURSING CENTER INC
Practice Location Address:
3075 NW 35TH AVE
LAUDERDALE LAKES, FL
33311-1107
Practice Phone: 954-739-6233
Practice Fax: 954-733-9579
1124016688 — ST JOHNS REHABILITATION HOSPITAL AND NURSING CENTER INC
Practice Location Address:
3487 NW 30TH ST
LAUDERDALE LAKES, FL
33311-1103
Practice Phone: 954-739-6233
Practice Fax: 954-485-4023
1316928500 — DANIEL CHARLES CARNEY SR. DO
Practice Location Address:
3487 NW 30TH ST , ST ANTHONY'S REHABILITATION HOSPITAL
LAUDERDALE LAKES, FL
33311-1103
Practice Phone: 954-739-6233
Practice Fax: 954-343-3484

Directions to “NORTH BROWARD HOSPITAL DISTRICT ” Practice Location

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