North Broward Hospital District

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

NORTH BROWARD HOSPITAL DISTRICT

Doing business as

Pediatric Endocrinology

Practice address

1625 SE 3 Avenue
Sutie 635
Fort Lauderdale, FL 33316

Phone

(954) 764-2801

NPI assigned

Jun 29, 2006

Last updated

Sep 12, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTH BROWARD HOSPITAL DISTRICTAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Frank P Nask

Title

Sr Vice President Cfo

Phone

(954) 355-5064

Specialties & licenses 2

Addresses

Other names 1

• Pediatric Endocrinology Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Part of

NBHD Imperial Point Med

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1659309698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 862851",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328862851",
            "telephone_number": "954-847-4273",
            "fax_number": "954-847-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SE 3 AVENUE",
            "address_2": "SUTIE 635",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33316",
            "telephone_number": "954-764-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BROWARD HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH BROWARD HOSPITAL DISTRICT",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "NASK",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SR VICE PRESIDENT CFO",
        "authorized_official_telephone_number": "954-355-5064"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Endocrinology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Broward Hospital District (BG Lactation Center)
• North Broward Hospital District (BH Physicians Main)
• North Broward Hospital District (BH Physicians Main)
• North Broward Hospital District (BGMC Behavioral Health)
• North Broward Hospital District (BH Physicians Main)
• North Broward Hospital District (Broward General Medical Center DME)
• North Broward Hospital District (SCC Adult Clinic)
• North Broward Hospital District (Broward Health 7th Avenue Social Services)
• North Broward Hospital District (BH Physicians Main)
• North Broward Hospital District (BHP Mobile Health Center 02 (BHP Mobile Health))

• Endocrinology, Diabetes & Metabolism Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.