Provider Demographics
NPI:1013006899
Name:DOH BROWARD COUNTY PUBLIC HEALTH UNIT
Entity Type:Organization
Organization Name:DOH BROWARD COUNTY PUBLIC HEALTH UNIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-467-4811
Mailing Address - Street 1:4100 S HOSPITAL DR
Mailing Address - Street 2:SUITE 309
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2813
Mailing Address - Country:US
Mailing Address - Phone:954-327-5993
Mailing Address - Fax:954-321-3763
Practice Address - Street 1:4100 S HOSPITAL DR
Practice Address - Street 2:SUITE 309
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2813
Practice Address - Country:US
Practice Address - Phone:954-327-5993
Practice Address - Fax:954-321-3763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH13091261QP0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local