North Broward Hospital District
Organization Active NPI Cardiovascular Disease Physician · Fort Lauderdale, FL
NPI 1306201942 · NPPES record last updated Jan 6, 2026
Key facts
- NPI
- 1306201942
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- NORTH BROWARD HOSPITAL DISTRICT
- Practice address
- 6405 N Federal Hwy Ste 200
Fort Lauderdale, FL 33308-1414 - Phone
- (954) 958-5200
- Fax
- (954) 958-5105
- NPI assigned
- Dec 28, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- NORTH BROWARD HOSPITAL DISTRICT
Authorized official
- Name
- Alisa Bert
- Title
- Interim Cfo
- Phone
- (954) 847-4117
Corporate family (same tax ID) 24
Practitioners 1
-
Renato Gonik, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040405001860 | FL | Part B Supplier - Clinic/Group Practice | 3577472422 |
Receives reassigned benefits from 251 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Robert L Odell MD
- Part of
- Robert L Odell MD
Locations
1801 W Sample Rd
Ste 101
Deerfield Beach, FL 33064
Phone (954) 481-9184
Networks
- HealthSun Health Plans Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | |||
| Cardiovascular Disease Physician |
207RC0000X | Yes | ||
| Interventional Cardiology Physician |
207RI0011X |
Addresses
Primary practice location
6405 N Federal Hwy Ste 200
Fort Lauderdale, FL 33308-1414
Mailing address
1608 SE 3Rd Ave FL 3
Fort Lauderdale, FL 33316-2564
Phone (954) 776-8550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253794077 | Medicaid | FL |
Other names
- BH Physicians Imperial Point
- BHPG IP 6405 CAR 200
Other providers in Fort Lauderdale, FL
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
All providers in Fort Lauderdale, FL · Cardiovascular Disease Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.