Organization · Type 2 NPI

South Broward Hospital District

Surgical Physician Assistant · Hollywood, FL

NPI number 1285641209 Active

Practice location

3501 Johnson Street
Hollywood, FL 33021

Fax (954) 985-5691

Mailing address

2900 Corporate Way, Door D
Miramar, FL 33025-3925

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1285641209

South Broward Hospital District's National Provider Identifier is 1285641209, issued on Aug 2, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hollywood, FL. The record was last updated on Feb 16, 2017.