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NPI Code Detail

MEDICARE: BROWARD COMMUNITY AND FAMILY HEALTH CENTERS INC

MEDICARE: BROWARD COMMUNITY AND FAMILY HEALTH CENTERS INC
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
1261QF0400XFederally Qualified Health Center (FQHC)0612604FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
157395OTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730121435
Entity Type Code : Organization
Provider Name (Legal Business Name) : BROWARD COMMUNITY AND FAMILY HEALTH CENTERS INC
Provider Business Mailing Address
First Line : 5010 HOLLYWOOD BLVD
Second Line : 100B
City : HOLLYWOOD
State : FL
Zip : 33021-6557
Country : US
Telephone Number : 954-967-0028
Fax Number : 954-971-9503
Provider Business Practice Location Address
First Line : 5010 HOLLYWOOD BLVD
Second Line : 100B
City : HOLLYWOOD
State : FL
Zip : 33021-6557
Country : US
Telephone Number : 954-967-0028
Fax Number : 954-971-9503
Authorized Official
Title or Position : CEO
Name : ROSALYN R. FRAZIER
Credential :
Telephone Number : 954-967-0028
Provider Enumeration Date : 06/10/2006
Last Update Date : 10/10/2025

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1154959161 — REGINALD DELIGENT M.D.
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Directions to “BROWARD COMMUNITY AND FAMILY HEALTH CENTERS INC ” Practice Location

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