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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 IP 6405 PCP, BHPG IP 6405 GI, BHP IP 6405 PSYCH 300
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
6405 N FEDERAL HWY, SUITE 300, FORT LAUDERDALE, FL 33308-1412
(954) 771-7294
(954) 776-8956
Mailing address
1608 SE 3RD AVE FL 3, FORT LAUDERDALE, FL 33316-2564
(954) 771-7294
(954) 776-8956
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020
BCBS
FL
05
—
253794001
—
FL
05
—
263310852
—
FL
Enumeration date
06/29/2006
Last updated
08/18/2026
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