Provider Demographics
NPI:1841414471
Name:NORTH BROWARD HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:NORTH BROWARD HOSPITAL DISTRICT
Other - Org Name:HOSPICE OF GOLD COAST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:NAST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-355-5064
Mailing Address - Street 1:2101 W COMMERCIAL BLVD
Mailing Address - Street 2:SUITE 4500
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3071
Mailing Address - Country:US
Mailing Address - Phone:954-785-2990
Mailing Address - Fax:954-788-5034
Practice Address - Street 1:2101 W COMMERCIAL BLVD
Practice Address - Street 2:SUITE 4500
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3071
Practice Address - Country:US
Practice Address - Phone:954-785-2990
Practice Address - Fax:954-788-5034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5017096251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based