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Organization
NORTH BROWARD HOSPITAL DISTRICT
Active
Organization
NORTH BROWARD HOSPITAL DISTRICT
Active
Other names
RPHC OBGYN, RPHC ADULT
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTLE MARTIN (CFO)
(954) 473-7420
Entity
Organization
Contact information
Practice address
2131 N STATE ROAD 7, MARGATE, FL 33063-5713
(954) 876-2499
(954) 888-3713
Mailing address
1608 SE 3RD AVE FL 3, FORT LAUDERDALE, FL 33316-2564
(954) 876-2499
(954) 888-3713
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263310847
—
FL
Enumeration date
10/07/2025
Last updated
03/03/2026
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