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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 Weston Physician Office
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH BROWARD HOSPITAL DISTRICT
Authorized official
ALEXANDER FERNANDEZ (SVP/CFO)
(954) 473-7315
Entity
Organization
Contact information
Practice address
2300 N COMMERCE PKWY, SUITE 319, WESTON, FL 33326-3257
(954) 762-9173
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS9869
FL
207RC0000X
Cardiovascular Disease Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020
BCBS
FL
05
—
253794054
—
FL
Enumeration date
09/21/2011
Last updated
05/25/2021
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