Organization · Type 2 NPI

South Broward Hospital District

Specialist · Hollywood, FL

NPI number 1407897960 Active

Practice location

3501 Johnson St
Hollywood, FL 33021-5421

Call (954) 987-2000 Map

Fax (954) 602-2813

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.

479 other providers at this address

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NPI record

NPI: 1407897960
Entity type: Organization (Type 2)
Issued: Jun 8, 2006
Last updated: Oct 12, 2021
Status: Active

Other names

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Memorial House Staff Physicians · doing business as
Memorial House Staff Physicians · doing business as

Authorized official

Mr. Peter Powers
Hospital Administrator
(954) 265-5814

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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 1407897960

South Broward Hospital District's National Provider Identifier is 1407897960, issued on Jun 8, 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.