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Organization
FLORIDA DEPARTMENT OF HEALTH
Active
Organization
FLORIDA DEPARTMENT OF HEALTH
Active
Other names
BROWARD COUNTY HEALTH DEPT SRHC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULA M THAQI (DIRECTOR)
(954) 467-4811
Entity
Organization
Contact information
Practice address
4105 PEMBROKE RD, HOLLYWOOD, FL 33021-8103
(954) 985-4861
(954) 985-4828
Mailing address
4105 PEMBROKE RD, SUITE C107, HOLLYWOOD, FL 33021-8103
(954) 985-4861
(954) 985-4828
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
PH11860
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109974406
—
FL
Enumeration date
02/21/2007
Last updated
06/23/2008
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