# FLORIDA DEPARTMENT OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BROWARD COUNTY HEALTH DEPT SRHC PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851436398
- **Authorized official:** DR. PAULA M THAQI (DIRECTOR)
- **Authorized official phone:** (954) 467-4811

## Contact information

- **Practice address:** 4105 PEMBROKE RD, HOLLYWOOD, FL 33021-8103
- **Practice address phone:** (954) 985-4861
- **Practice address fax:** (954) 985-4828
- **Mailing address:** 4105 PEMBROKE RD, SUITE C107, HOLLYWOOD, FL 33021-8103
- **Mailing address phone:** (954) 985-4861
- **Mailing address fax:** (954) 985-4828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP0905X | State or Local Public Health Clinic/Center | PH11860 | FL | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 06/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 109974406 | — | FL |