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Organization
NORTH BROWARD HOSPITAL DISTRICT
Active
Organization
NORTH BROWARD HOSPITAL DISTRICT
Active
Parent organization
NORTH BROWARD HOSPITAL DISTRICT
Other names
BHPG MOB 1625 PCP, BH Physicians Main
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH BROWARD HOSPITAL DISTRICT
Authorized official
KRYSTLE MARTIN (CFO)
(954) 473-7420
Entity
Organization
Contact information
Practice address
1625 SE 3RD AVE STE 721, FORT LAUDERDALE, FL 33316-2521
(954) 355-4617
(954) 355-4618
Mailing address
1608 SE 3RD AVE FL 3, FORT LAUDERDALE, FL 33316-2564
(954) 355-4617
(954) 355-4618
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020
BCBS
FL
05
—
263310808
—
FL
Enumeration date
01/17/2012
Last updated
06/24/2026
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