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	251G00000X	Community Based Hospice Care Agency	5017096	FL

General Provider Information

NPI Number	:	1841414471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH BROWARD HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	2101 W COMMERCIAL BLVD
Second Line	:	SUITE 4500
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3071
Country	:	US
Telephone Number	:	954-785-2990
Fax Number	:	954-788-5034

Provider Business Practice Location Address
First Line	:	2101 W COMMERCIAL BLVD
Second Line	:	SUITE 4500
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3071
Country	:	US
Telephone Number	:	954-785-2990
Fax Number	:	954-788-5034

Authorized Official
Title or Position	:	CFO
Name	:	FRANK NAST
Credential	:
Telephone Number	:	954-355-5064

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	08/22/2020

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