Organization
SOUTH BROWARD HOSPITAL DISTRICT
Active
Other names
Memorial Home Infusion
Organization subpart
No
Provider details
NPI number
Authorized official
IRFAN MIRZA (INTERIM CHIEF FINANCIAL OFFICER)
(954) 265-5696
Entity
Organization
Contact information
Practice address
9579 PREMIER PKWY, MIRAMAR, FL 33025-3206
(954) 276-8388
(954) 276-8399
Mailing address
9579 PREMIER PKWY, MIRAMAR, FL 33025-3206
(954) 276-8388
(954) 276-8399
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PH26978
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088673-00
—
FL
01
—
2140443
PK
—
Enumeration date
05/22/2013
Last updated
12/23/2025
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