Ccc Extension

LBN: North Broward Hospital District
Ccc Extension is an health care organization with primary practice located at 200 Nw 7Th Avenue , Fort Lauderdale FL 33311-9026. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. North Broward Hospital District can be contacted via phone (954) 759-6988, or through Fernandez, Alexander via phone (954) 473-7642.

Contact Information

Primary practice address
200 Nw 7Th Avenue Fort Lauderdale FL 33311-9026
Phone: (954) 759-6988
Fax: (954) 759-6701
Website:
Map and Directions
Authorized official contact:
Name: Fernandez, Alexander
Phone: (954) 473-7642

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1700912797
LBN Legal business name North Broward Hospital District
DBA Doing business as Ccc Extension
Authorized official Fernandez, Alexander
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 26th, 2007
Last updated May 25th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700912797 NPPES
Florida MEDICAID 253794062
Florida Other 00020

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