Organization
SOUTH BROWARD HOSPITAL DISTRICT
Active
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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