SOUTH BROWARD HOSPITAL DISTRICT (NPI# 1821538505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821538505 |
| Entity Type | Organization |
| Organization Name | SOUTH BROWARD HOSPITAL DISTRICT |
| Practice Address |
9571 Premier Pkwy Miramar FL 33025-3206 |
| Practice Telephone | 9542766779 |
| Practice Fax Number | 9542760006 |
| Mailing Telephone | 9542766779 |
| Mailing Fax Number | 9542760006 |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2018-10-30 |
| Authorized Official Name | CHARLES KENNON HETLAGE (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 9542652295 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH30652 | FL | Suppliers |
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PH30652 | FL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386297513 | South Broward Hospital District | Clinic/Center | 7369 Sheridan St Ste 302b, Hollywood, FL 33024-2776 | 2019-07-17 |
| 1598321051 | South Broward Hospital District | Internal Medicine | 7369 Sheridan St Ste 302, Hollywood, FL 33024-2776 | 2019-05-10 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1245656792 | South Broward Hospital District | Clinical Neuropsychologist | 3600 Washington St Ste 1005, Hollywood, FL 33021-8216 | 2014-03-07 |
| 1043656614 | South Broward Hospital District | Pharmacy | 9579 Premier Pkwy, Miramar, FL 33025-3206 | 2013-05-22 |
| 1205270907 | South Broward Hospital District | Neurological Surgery | 4650 Sheridan St, Suite 150, Hollywood, FL 33021 | 2013-04-24 |
| 1780027870 | South Broward Hospital District | Physical Medicine & Rehabilitation | 4651 Sheridan Street, Suite 150, Hollywood, FL 33024 | 2013-04-09 |
| 1790076115 | South Broward Hospital District | Pediatrics | 1131 N 35th Ave Ste 220, Hollywood, FL 33021-5403 | 2011-04-20 |
| 1790867133 | South Broward Hospital District | General Acute Care Hospital | 2900 Corporate Way, Miramar, FL 33025-3925 | 2006-10-19 |
| 1407865520 | South Broward Hospital District | Orthopaedic Surgery | 1150 N. 35th Avenue, Suite 345, Hollywood, FL 33021-5424 | 2006-08-07 |
| Street Address |
9571 PREMIER PKWY |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33025-3206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702329 | Ashley V Carter | Nutritionist | 3803 Sw 93rd Ave, Miramar, FL 33025 | 2019-10-24 |
| 1477024305 | Jeff Rocker | Counselor | 10700 City Center Blvd Apt 5245, Pembroke Pines, FL 33025 | 2018-12-17 |
| 1760959779 | Spring Health Inc | In Home Supportive Care | 1799 Sw 82nd Pl, Miramar, FL 33025 | 2018-10-28 |
| 1649763004 | Ann-marie Elizabeth Pryce | Nurse Practitioner | 8942 Sw 19th St, Miramar, FL 33025 | 2018-06-11 |
| 1588154876 | Michelle Angelle Crawford | Behavior Technician | 10630 Washington St Apt 103, Pembroke Pines, FL 33025 | 2018-05-14 |
| 1598267809 | Lydia Rosa Malcolm | Psychologist | 11820 Miramar Pkwy Ste 309, Miramar, FL 33025 | 2018-03-02 |
| 1447760657 | At Talitha Cumi Home Care, Inc. | Homemaker | 3140 Sw 120 Terr, Miramar, FL 33025 | 2017-10-03 |
| 1962924522 | Yenni Celina Cueto | Behavioral Analyst | 720 Sw 111th Ave Apt 303, Pembroke Pines, FL 33025 | 2017-07-14 |
| 1093236713 | Manoucheca Fabienne Phanord | Nurse Practitioner | 11575 City Hall Promenade, #4-150, Miramar, FL 33025 | 2017-07-03 |
| 1659801439 | Desiree Verina Nugent | Family Medicine | 3772 Sw 93rd Ave, Miramar, FL 33025 | 2017-06-14 |
| Find all providers in zip 33025 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588045215 | Humana Pharmacy Inc | Pharmacy | 10737 Marks Way, Miramar, FL 33025-3976 | 2015-06-18 |
| 1700146461 | My Health South Pharmacy, Inc. | Pharmacy | 11948 Miramar Parkway, Miramar, FL 33025 | 2012-05-29 |
| 1053365544 | Coram Healthcare Corporation of Southern Florida | Pharmacy | 12006 Miramar Pkwy, Miramar, FL 33025-7000 | 2006-05-20 |
| 1326494303 | Dade Medical Inc | Pharmacy | 3700 Commerce Pkwy, Miramar, FL 33025-3912 | 2016-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480375 | Sun Health and Wellness, Inc | Pharmacy | 109 Park Place Blvd, Suite A, Davenport, FL 33837 | 2020-09-01 |
| 1710505458 | Orlando Health Inc | Pharmacy | 1111 Blackwood Ave, Ocoee, FL 34761-4549 | 2020-07-09 |
| 1508498569 | Cba Pharmacy Inc | Pharmacy | 13801 Bruce B Downs Blvd Ste 102&103, Tampa, FL 33613-3946 | 2020-02-07 |
| 1730723685 | Eckerds Rx 107 LLC | Pharmacy | 710 N Brevard Ave, Arcadia, FL 34266-8778 | 2019-11-04 |
| 1780244335 | Amaranth Life Sciences Pharmaceutical, Inc. | Pharmacy | 1731 Avenida Del Sol, Boca Raton, FL 33432-1742 | 2019-06-17 |
| 1730678996 | Rav Pharma LLC | Pharmacy | 450077 State Road 200 Ste 4, Callahan, FL 32011-3863 | 2018-05-03 |
| 1720538689 | Community Specialty Pharmacy, LLC | Pharmacy | 1617 34th St S Unit B, St Petersburg, FL 33711-2855 | 2016-10-04 |
| 1467909580 | Walgreen Specialty Pharmacy LLC | Pharmacy | 8325 S Park Cir, Ste 200, Orlando, FL 32819-9075 | 2016-09-07 |
| 1770932048 | Recept Pharmacy Lp | Pharmacy | 4011 Crescent Park Dr, Riverview, FL 33578-3605 | 2016-06-08 |
| 1417317447 | Sage Rx Specialty Pharmacy | Pharmacy | 3693 W Waters Ave # 1210, Tampa, FL 33614-2783 | 2016-03-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.