Organization · Type 2 NPI

South Broward Hospital District

Obstetrics & Gynecology Physician · Hollywood, FL

NPI number 1003409301 Active

Practice location

1150 N 35th Ave Ste 560
Hollywood, FL 33021-5431

Call (954) 265-2740 Map

Fax (954) 276-0645

Mailing address

2900 Corporate Way, Door D
Miramar, FL 33025-3925

Other practice locations

3501 Johnson St Fl 2, Hollywood, FL 33021-5421 · (954) 265-3441

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4 other providers at this address

Other obstetrics & gynecology physician providers in Hollywood

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NPI record

NPI: 1003409301
Entity type: Organization (Type 2)
Issued: Feb 17, 2021
Last updated: Apr 24, 2026
Status: Active
Subpart: Yes of South Broward Hospital District

Other names

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Memorial Division of High Risk Obstetrics · doing business as

Authorized official

Esther Surujon
CFO Memorial Physician Group MPC
(954) 265-6677

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003409301

South Broward Hospital District's National Provider Identifier is 1003409301, issued on Feb 17, 2021. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Hollywood, FL. The record was last updated on Apr 24, 2026.