Organization
BROWARD HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY L. JEFFERSON JR. (ATHLETIC TRAINER)
(954) 632-9809
Entity
Organization
Contact information
Practice address
1800 SW 5TH PLACE, FT. LAUDERDALE, FL 33309
(754) 323-2100
Mailing address
2720 SOUTH OAKLAND FOREST DRIVE, APT.907, OAKLAND PARK, FL 33309
(954) 632-9809
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
AL 638
FL
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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