Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

North Broward Hospital District

Organization Family Medicine Physician · NPI 1861420812

North Broward Hospital District is a Family Medicine Physician in Fort Lauderdale, Florida. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
5
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Practice location Address checks out

6405 N Federal Hwy Ste 300
Fort Lauderdale, FL 33308-1412
Phone: (954) 771-7294
Fax: (954) 776-8956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Interventional Cardiology Physician Taxonomy 207RI0011X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1861420812
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNorth Broward Hospital District
Authorized official Krystle Martin — Cfo · (954) 473-7420
Other names Bhpg Ip 6405 Gi; Bhpg Ip 6405 Gi; Bhpg Ip 6405 Pcp
NPI enumeratedJune 29, 2006
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing address1608 Se 3rd Ave Fl 3, Fort Lauderdale, FL 33316-2564

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