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Organization
NORTH BROWARD HOSPITAL DISTRICT
Active
Organization
NORTH BROWARD HOSPITAL DISTRICT
Active
Parent organization
NORTH BROWARD HOSPITAL DISTRICT
Other names
BH Physicians Main
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH BROWARD HOSPITAL DISTRICT
Authorized official
KEVIN FUSCO (INTERIM PRESIDENT/CEO)
(954) 473-7100
Entity
Organization
Contact information
Practice address
789 S FEDERAL HWY, SUITE 106, FORT LAUDERDALE, FL 33316-1245
(954) 689-8088
(954) 689-8147
Mailing address
1608 SE 3RD AVE, THIRD FLOOR PBO, FORT LAUDERDALE, FL 33316-2564
(954) 847-4273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020
BCBS
FL
05
—
253794056
—
FL
Enumeration date
11/30/2011
Last updated
01/24/2017
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