Organization
NORTH BROWARD HOSPITAL DISTRICT
Active
Parent organization
NORTH BROWARD HOSPITAL DISTRICT
Other names
Broward Health Cora E. Braynon Family Health Center Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH BROWARD HOSPITAL DISTRICT
Authorized official
ALISA BERT (CFO)
(954) 847-4117
Entity
Organization
Contact information
Practice address
200 NW 7TH AVE, FORT LAUDERDALE, FL 33311
(954) 759-6600
(954) 759-6665
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
16035
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020
BCBS OF FL
FL
05
—
022454500
—
FL
Enumeration date
06/17/2006
Last updated
11/20/2024
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