| Organization Name: | BROWARD COUNTY RYAN WHITE PART A OFFICE |
| NPI Number: | 1154644482 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MANDY WELLS (DIVISION DIRECTOR) |
| Mailing Address: | 115 S Andrews Ave A-300 Fort Lauderdale |
| State: | FL US |
| Postal Code: | 333011818 |
| Phone Number: | 9543575390 |
| Fax Number: | 9543575897 |
| NPI Enumeration Date: | 03/01/2010 |
| NPI Last Update Date: | 03/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |