Organization · Type 2 NPI

South Broward Hospital District

Specialist · Hollywood, FL

NPI number 1265448286 Active

Practice location

3700 Johnson St
Hollywood, FL 33021-6031

Call (954) 987-2020 Map

Fax (954) 965-6390

Mailing address

PO Box 862233
Orlando, FL 32886-2233

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

13 other providers at this address

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NPI record

NPI: 1265448286
Entity type: Organization (Type 2)
Issued: Jul 31, 2006
Last updated: Oct 12, 2021
Status: Active

Other names

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Memorial Division of Breast Oncology · doing business as
Memorial Division of Breast Oncology · doing business as

Authorized official

Leah Carpenter
Executive Vice President
(954) 265-2995

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265448286

South Broward Hospital District's National Provider Identifier is 1265448286, issued on Jul 31, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hollywood, FL. The record was last updated on Oct 12, 2021.