# SOUTH BROWARD VASCULAR ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215165121
- **Authorized official:** JEFFREY A HERTZ M.D. (VICE PRESIDENT)
- **Authorized official phone:** (954) 989-5533

## Contact information

- **Practice address:** 3850 HOLLYWOOD BLVD, 302, HOLLYWOOD, FL 33021-6748
- **Practice address phone:** (954) 989-5533
- **Practice address fax:** (954) 989-5677
- **Mailing address:** 3850 HOLLYWOOD BLVD, 302, HOLLYWOOD, FL 33021-6748
- **Mailing address phone:** (954) 989-5533
- **Mailing address fax:** (954) 989-5677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | ME71836 | FL | Yes |

## Other

- **Enumeration date:** 06/30/2009
- **Last updated:** 08/24/2009