Organization
SOUTH BROWARD HOSPITAL DISTRICT
Active
Other names
Memorial Healthcare System
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDRICK BUSHKIN M.D. (DIRECTOR MEDICAL STAFF)
(954) 987-2000
Entity
Organization
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 987-2020
Mailing address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 987-2000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/16/2006
Last updated
11/18/2020
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