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10D2082126 CLIA NUMBER - NORTH BROWARD HOSPITAL DISTRICT

Laboratory Demographics

CLIA Number: 10D2082126

Facility Name: NORTH BROWARD HOSPITAL DISTRICT

Facility Address:
1625 SE 3RD AVE STE 601
FORT LAUDERDALE, FL
ZIP 33316
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Facility Phone Number: 954 355-4617

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1457763740

Taxonomy: 207QH0002X - Family Medicine
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

CLIA Record

Field Name Field Value
CLIA Number 10D2082126
LAB Type Physician Office
Facility Name NORTH BROWARD HOSPITAL DISTRICT
Street 1625 SE 3RD AVE STE 601
City FORT LAUDERDALE
State FL
ZIP 33316
Phone 954 355-4617
CertificateType 4
CertificateEffectiveDate 8/7/2022
CertificateExpirationDate 8/6/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024