South Broward Hospital District, NPI 1790076115
Pediatric Allergy/Immunology Physician in Hollywood, FL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1790076115
NPI Entity Type Organization
Provider Name South Broward Hospital District
Doing Business As
Subpart of Organization South Broward Hospital District
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1131 N 35th Ave Ste 220, Hollywood, FL, US
Provider Mailing Address 2900 Corporate Way, Door D, Miramar, FL, US, 330253925
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Nina Beauchesne
Official Position EXECUTIVE VICE PRESIDENT
Phone 954-265-3451

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

2080P0201X

Taxonomy Name Pediatric Allergy/Immunology Physician
Classification

Pediatrics

Group

Allopathic & Osteopathic Physicians

Description A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

Other Organization Name

Memorial Division of Pediatric Immunology, Allergy and Rheumatology
Doing Business As

Business Address

South Broward Hospital District
1131 N 35th Ave Ste 220

Hollywood, FL, US

Phone: 954-265-3030
Fax: 954-265-3065

Mailing Address

South Broward Hospital District
2900 Corporate Way
Door D
Miramar, FL, US
ZIP 330253925
Phone: 954-276-5685
Fax: 954-985-7074

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
009173570 FL MEDICAID 05
009173529 FL MEDICAID 05
009173526 FL MEDICAID 05
038184537 FL MEDICAID 05

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