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HV333113 NORTH BROWARD HOSPITAL DISTRICT (Active)
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Main Details
Name
NORTH BROWARD HOSPITAL DISTRICT
Subdivision Name
Cora E. Braynon Family Health Center
Type
Ryan White Part C
340B ID
HV333113
Grant Number
H76HA00210
Additional Details
Current Program Status
Active
Registration Date
10/1/1998
Participating Start Date
10/1/1998
Participating Approval Date
4/8/2004
Last Recertification Date
2/28/2025
Time Period the Assistance was Received
5/1/2023 - 4/30/2025
Contacts
Authorizing Official
North Broward Hospital District DBA Broward Health
Alisa Bert, Interim CFO/VP Financial Operations
(954) 847-7483
Primary Contact
North Broward Hospital District dba Broward Health
Dave A Lacknauth, Executive Director of Pharmacy Services
(954) 473-7078
Addresses
Street Address
200 NW 7TH AVENUE
FT. LAUDERDALE, FL 33311
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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ENTITY NAME CORRECTION
04/08/2004
April 2025
April 2025
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