Organization
NORTH BROWARD HOSPITAL DISTRICT
Active
Parent organization
NORTH BROWARD HOSPITAL DISTRICT
Other names
BH Physicians Main, BHPG MOB 1625 PED GI 01
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH BROWARD HOSPITAL DISTRICT
Authorized official
ALISA BERT (INTERIM CFO)
(954) 847-4117
Entity
Organization
Contact information
Practice address
1625 SE 3RD AVENUE, SUITE 635, FORT LAUDERDALE, FL 33316-2521
(954) 712-6623
(954) 712-6629
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3763
(954) 712-6623
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253794081
—
FL
Enumeration date
03/28/2016
Last updated
10/14/2024
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