Organization
SOUTH BROWARD HOSPITAL DISTRICT
Active
Parent organization
SOUTH BROWARD HOSPITAL DISTRICT
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH BROWARD HOSPITAL DISTRICT
Authorized official
NINA BEAUCHESNE (EXECUTIVE VICE PRESIDENT)
(954) 265-6996
Entity
Organization
Contact information
Practice address
7800 SHERIDAN ST FL 1, PEMBROKE PINES, FL 33024-2536
(954) 883-8014
(954) 986-8306
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038184579
—
FL
Enumeration date
06/23/2016
Last updated
02/28/2018
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