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
1	207RI0011X	Interventional Cardiology Physician
2	207RC0001X	Clinical Cardiac Electrophysiology Physician
3	207RC0000X	Cardiovascular Disease Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	00020	OTHER	FL	FLORIDA BLUE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932448495
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH BROWARD HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	1608 SE 3RD AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2564
Country	:	US
Telephone Number	:	954-724-3470
Fax Number	:	954-724-3473

Provider Business Practice Location Address
First Line	:	3100 CORAL HILLS DR STE 302
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4138
Country	:	US
Telephone Number	:	954-724-3470
Fax Number	:	954-724-3473

Authorized Official
Title or Position	:	INTERIM CFO
Name	:	KRYSTLE MARTIN
Credential	:
Telephone Number	:	954-473-7320

Provider Enumeration Date	:	02/04/2013
Last Update Date	:	02/11/2026

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Directions to “NORTH BROWARD HOSPITAL DISTRICT ” Practice Location

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