Organization
FLORIDA DEPARTMENT OF HEALTH
Active
Other names
BROWARD COUNTY HEALTH DEPT SRHC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULA M THAQI (DIRECTOR)
(954) 467-4811
Entity
Organization
Contact information
Practice address
4105 PEMBROKE RD, HOLLYWOOD, FL 33021-8103
(954) 985-4861
(954) 985-4828
Mailing address
4105 PEMBROKE RD, SUITE C107, HOLLYWOOD, FL 33021-8103
(954) 985-4861
(954) 985-4828
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
PH11860
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109974406
—
FL
Enumeration date
02/21/2007
Last updated
06/23/2008
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