NORTH BROWARD HOSPITAL DISTRICT (NPI# 1114164282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114164282 |
| Entity Type | Organization |
| Organization Name | NORTH BROWARD HOSPITAL DISTRICT |
| Other Organization Name | BH PHYSICIANS MAIN |
| Practice Address |
1625 Se 3rd Ave Ste 610 Fort Lauderdale FL 33316-2521 |
| Mailing Address |
1700 Nw 49th St Ste 125 Fort Lauderdale FL 33309-3750 |
| Practice Telephone | 9548488133 |
| Practice Fax Number | 9548488143 |
| Mailing Telephone | 9548488133 |
| Mailing Fax Number | 9548488143 |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | GINO SANTORIO (PRESIDENT/CEO) |
| Authorized Official Telephone | 9544737024 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH BROWARD HOSPITAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 00020 | 01 |
| FL | 253794036 | 05 |
| Other Name | Type Code |
|---|---|
| BH Physicians Imperial Point | Doing Business As Name - Organization |
| BH Physicians Main | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212744 | North Broward Hospital District | Internal Medicine | 817 S University Dr Ste 104, Plantation, FL 33324-3345 | 2020-07-08 |
| 1447898580 | North Broward Hospital District | Orthopaedic Surgery | 3100 Coral Hills Dr Ste 202, Coral Springs, FL 33065-4139 | 2019-12-19 |
| 1417440991 | North Broward Hospital District | Internal Medicine | 1 W Sample Rd Ste 208, Pompano Beach, FL 33064-3547 | 2018-06-11 |
| 1942692298 | North Broward Hospital District | Psychiatry & Neurology | 50 E Sample Road, Suite 200, Pompano Beach, FL 33064-3550 | 2015-02-24 |
| 1063847341 | North Broward Hospital District | Clinic/Center | 2300 N Commerce Pkwy Ste 110, Weston, FL 33326-3255 | 2013-09-05 |
| 1558700849 | North Broward Hospital District | Family Medicine | 3896 N. Federal Highway, Lighthouse Point, FL 33064 | 2013-06-19 |
| 1952740458 | North Broward Hospital District | Internal Medicine | 1811 N Pine Island Rd, Plantation, FL 33322-5207 | 2013-06-18 |
| 1780922716 | North Broward Hospital District | Clinic/Center | 1811 N. Pine Island Road, Plantation, FL 33322 | 2013-01-25 |
| 1558644690 | North Broward Hospital District | Family Medicine | 6333 N Federal Hwy Ste 225, Fort Lauderdale, FL 33308-1913 | 2011-09-26 |
| 1306083563 | North Broward Hospital District | Family Medicine | 50 E Sample Rd Ste 201, Pompano Beach, FL 33064-3552 | 2009-01-09 |
| Street Address |
1625 SE 3RD AVE STE 610 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801208764 | Maria Farrell | Family Medicine | 1625 Se 3rd Ave Ste 525, Fort Lauderdale, FL 33316-2521 | 2014-05-27 |
| 1750646030 | Palliative Medical Specialties LLC | Family Medicine | 500 Se 17th St, Suite 301, Fort Lauderdale, FL 33316-2547 | 2012-07-12 |
| 1881838001 | Tatyana Goldin | Family Medicine | 5430 Nw 33rd Ave, Suite 106, Fort Lauderdale, FL 33309-6349 | 2009-05-01 |
| 1194932244 | Douglas W David | Family Medicine | 5420 Nw 33rd Ave, Suite 100, Fort Lauderdale, FL 33309-6348 | 2007-05-17 |
| 1457570384 | Ronald Michael Bekic | Family Medicine | 5430 Nw 33rd Ave, Suite 106, Fort Lauderdale, FL 33309-6349 | 2007-04-25 |
| 1528096575 | North Broward Hospital District | Family Medicine | 1625 Se 3rd Ave, Suite 525, Fort Lauderdale, FL 33316-2521 | 2006-06-29 |
| 1376500645 | Pamela M Sutton | Family Medicine | 1625 Se 3rd Avenue, Suite 525, Fort Lauderdale, FL 33316 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908701 | Heidi Ramazanzadeh Azari | Family Medicine | 555 John Anderson Dr, Ormond Beach, FL 32176-5480 | 2020-09-24 |
| 1902363443 | Alegis Care of Florida Pa | Family Medicine | 255 Primera Blvd Ste 264, Lake Mary, FL 32746-2148 | 2019-02-20 |
| 1710404363 | Center for Health and Wellness | Family Medicine | 3117 Spring Glen Rd Ste 407, Jacksonville, FL 32207-5906 | 2017-08-24 |
| 1891233219 | Suz M.d. LLC | Family Medicine | 11946 Skylake Pl, Unit D, Temple Terrace, FL 33617-1623 | 2017-02-06 |
| 1992116537 | Horizon Palliative Care Partners LLC | Family Medicine | 901 34th Ave N, Ste 7597, St Petersburg, FL 33734-8064 | 2014-05-16 |
| 1427341296 | Mariana Khawand-azoulai | Family Medicine | 1400 Nw 12th Ave Fl 11, Miami, FL 33136-1003 | 2011-05-26 |
| 1679889968 | Premier Family and Palliative Medical Center Inc | Family Medicine | 1 W Sample Rd # 3104, Pompano Beach, FL 33064-3547 | 2010-08-24 |
| 1568782464 | University Primary Care LLC | Family Medicine | 7495 North University Dr, Tamarac, FL 33321 | 2010-06-03 |
| 1932317294 | Lawrence E Bennett | Family Medicine | 8886 Windtree St, Boca Raton, FL 33496-5090 | 2007-05-19 |
| 1891902706 | Warren Joseph Brown | Family Medicine | 14607 Brewster Dr, Largo, FL 33774-4822 | 2007-05-17 |
| Find all providers with the same taxonomy | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
Please comment or provide details below to improve the information on NORTH BROWARD HOSPITAL DISTRICT.
| 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.