| North Broward Hospital District | |
|
1625 Se 3rd Ave Suite 721 Fort Lauderdale FL 33316-2521 | |
| (954) 523-3422 | |
| (954) 523-3423 |
| Full Name | North Broward Hospital District |
|---|---|
| Speciality | Internal Medicine |
| Location | 1625 Se 3rd Ave, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Alisa Bert (INTERIM CFO) |
| Authorized Official Contact | 9548474117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Broward Hospital District 1608 Se 3rd Ave Fl 3 Fort Lauderdale FL 33316-2564 Ph: (954) 523-3422 | North Broward Hospital District 1625 Se 3rd Ave Suite 721 Fort Lauderdale FL 33316-2521 Ph: (954) 523-3422 |
| NPI Number | 1073884417 |
|---|---|
| Provider Enumeration Date | 01/17/2012 |
| Last Update Date | 03/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073884417 | NPI | - | NPPES |
| 00020 | Other | FL | BCBS |
| 263310808 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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