Organization · Type 2 NPI

North Broward Hospital District

Community Based Hospice Care Agency · Fort Lauderdale, FL

NPI number 1912935974 Active

Practice location

309 SE 18th Street
Fort Lauderdale, FL 33316

Fax (954) 847-4245

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	5017096 (FL)

Community Based Hospice Care Agency: Definition to come...

Another provider at this address

North Broward Hospital DistrictHome Health Agency Fort Lauderdale, FL NPI 1932144755

Other community based hospice care agency providers in Fort Lauderdale

See all in Fort Lauderdale →

NPI record

NPI: 1912935974
Entity type: Organization (Type 2)
Issued: Jun 29, 2006
Last updated: Dec 4, 2015
Status: Active
Subpart: Yes of North Broward Hospital District

Other names

<unavail>
Hospice of Gold Coast · doing business as

Authorized official

Mr. Robert K Martin
Sr. Vice President, CFO
(954) 473-7022

Verify this record

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 1912935974

North Broward Hospital District's National Provider Identifier is 1912935974, issued on Jun 29, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Dec 4, 2015.