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Organization

SOUTH BROWARD HOSPITAL DISTRICT

Active
Other names
Memorial Division of Breast Oncology
Organization subpart
No

Provider details

NPI number
Authorized official
LEAH CARPENTER (EXECUTIVE VICE PRESIDENT)
(954) 265-2995
Entity
Organization

Contact information

Practice address
3700 JOHNSON ST, HOLLYWOOD, FL 33021-6031
(954) 987-2020
(954) 965-6390
Mailing address
PO BOX 862233, ORLANDO, FL 32886-2233
(954) 987-2020
(954) 965-6390

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
038184516
FL
Enumeration date
07/31/2006
Last updated
10/12/2021
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