Provider Demographics
NPI:1013345149
Name:BROWARD COMMUNITY AND FAMILY HEALTH CENTERS INC
Entity Type:Organization
Organization Name:BROWARD COMMUNITY AND FAMILY HEALTH CENTERS INC
Other - Org Name:CENTRAL BROWARDCOMMUNITY HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROSALYN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-967-0028
Mailing Address - Street 1:5010 HOLLYWOOD BLVD
Mailing Address - Street 2:100B
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6557
Mailing Address - Country:US
Mailing Address - Phone:954-967-0028
Mailing Address - Fax:959-272-0294
Practice Address - Street 1:1295 NW 40TH AVE
Practice Address - Street 2:#200
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33313
Practice Address - Country:US
Practice Address - Phone:954-583-4710
Practice Address - Fax:954-583-4711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL680027106Medicaid
FL680027107Medicaid
FL101145Medicare Oscar/Certification
FL680027107Medicaid