North Broward Hospital District

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

NORTH BROWARD HOSPITAL DISTRICT

Practice address

1625 SE 3Rd Ave Ste 300
Fort Lauderdale, FL 33316-2521

Phone

(954) 355-4665

Fax

(954) 355-4881

NPI assigned

Feb 22, 2007

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

Krystle Martin

Title

Cfo

Phone

(954) 473-7420

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 2

• BH Physicians Main Doing business as
• BHPG MOB 1625 CAR Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Part of

Robert L Odell MD

Locations

Networks

• HealthSun Health Plans Network

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Galal Elgazzaz, M.D

  • Surgery Physician
  • Ft Lauderdale, FL
  • NPI 1861740672
  NPD
• Patricia Garcia Chiroles, M.D

  • Gastroenterology Physician
  • Hollywood, FL
  • NPI 1912361155
  NPD
• Michael Bolanos, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Fort Lauderdale, FL
  • NPI 1063708600
  NPD (past)
• Alexander G Justicz, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Fort Lauderdale, FL
  • NPI 1265497473
  NPD (past)
• Ashley Lelchuk, PA

  • Surgical Physician Assistant
  • Fort Lauderdale, FL
  • NPI 1881049302
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1720113400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 SE 3RD AVE FL 3",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162564",
            "telephone_number": "954-355-4665",
            "fax_number": "954-355-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SE 3RD AVE STE 300",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162521",
            "telephone_number": "954-355-4665",
            "fax_number": "954-355-4881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 SE 3rd Ave",
            "address_2": "Third Floor",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333162521",
            "country_code": "US",
            "telephone_number": "954-355-5001",
            "fax_number": "954-355-4881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH BROWARD HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH BROWARD HOSPITAL DISTRICT",
        "enumeration_date": "2007-02-22",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KRYSTLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "954-473-7420"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00020",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253794040",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BH Physicians Main",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BH Physicians Main",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BHPG MOB 1625 CAR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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

• Cardiovascular Disease Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.