Organization · Type 2 NPI

North Broward Hospital District

Retina Specialist (Ophthalmology) Physician · Fort Lauderdale, FL

NPI number 1699232058 Active

Practice location

1625 SE 3rd Ave Ste 501
Fort Lauderdale, FL 33316-2521

Call (954) 468-8072 Map

Fax (954) 468-8087

Mailing address

1700 NW 49th St Ste 125
Fort Lauderdale, FL 33309-3750

Specialties and licenses

Taxonomy	Code	License
Retina Specialist (Ophthalmology) Physician Primary	207WX0107X	None listed
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	208G00000X	None listed

Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

NPI record

NPI: 1699232058
Entity type: Organization (Type 2)
Issued: Feb 21, 2019
Last updated: Apr 1, 2024
Status: Active
Subpart: Yes of North Broward Hospital District

Other names

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BH Physicians Main · doing business as
BH Physicians Main · doing business as

Authorized official

Alisa Bert
Interim CFO
(954) 847-4117

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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 1699232058

North Broward Hospital District's National Provider Identifier is 1699232058, issued on Feb 21, 2019. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Apr 1, 2024.