Organization
NORTH BROWARD HOSPITAL DISTRICT
Active
Organization
NORTH BROWARD HOSPITAL DISTRICT
Active
Parent organization
NORTH BROWARD HOSPITAL DISTRICT
Other names
BHPG N 1 CAR 204, BHPG N 1 EP 204, BH Physicians North
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH BROWARD HOSPITAL DISTRICT
Authorized official
KRYSTLE MARTIN (CFO)
(954) 473-7320
Entity
Organization
Contact information
Practice address
1 W SAMPLE RD STE 204, DEERFIELD BEACH, FL 33064-3547
(954) 785-0300
(954) 785-0229
Mailing address
1608 SE 3RD AVE FL 3, FORT LAUDERDALE, FL 33316-2564
(954) 785-0300
(954) 785-0229
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020
BCBS
—
05
—
263310806
—
FL
Enumeration date
08/20/2010
Last updated
06/24/2026
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