Organization
NORTH BROWARD HOSPITAL DISTRICT
Active
Parent organization
NORTH BROWARD HOSPITAL DISTRICT
Other names
BH Physicians Main, BHPG MOB 1625 HEM/ONC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH BROWARD HOSPITAL DISTRICT
Authorized official
KRYSTLE MARTIN (AMBULATORY CFO)
(954) 473-7320
Entity
Organization
Contact information
Practice address
1625 SE 3RD AVE, SUITE 525, FORT LAUDERDALE, FL 33316-2521
(954) 355-4975
(954) 355-5898
Mailing address
1608 SE 3RD AVE FL 3, FORT LAUDERDALE, FL 33316-2564
(954) 355-4975
(954) 355-5898
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020
BCBS
FL
05
—
253794033
—
FL
Enumeration date
06/29/2006
Last updated
02/03/2026
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