Organization · Type 2 NPI

South Broward Hospital District

Pediatrics Physician · Hollywood, FL

NPI number 1063013787 Active

Practice location

1005 Joe Dimaggio Dr, Pediatrics Floor 4
Hollywood, FL 33021-5402

Call (954) 265-6331 Map

Fax (954) 893-6244

Mailing address

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

Other practice locations

1971 SW 172nd Ave Ste 2500, Miramar, FL 33029-5621 · (954) 265-4494

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician Primary	208000000X	None listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

83 other providers at this address

Other pediatrics physician providers in Hollywood

See all in Hollywood →

NPI record

NPI: 1063013787
Entity type: Organization (Type 2)
Issued: Nov 9, 2020
Last updated: Oct 3, 2025
Status: Active
Subpart: Yes of South Broward Hospital District

Other names

<unavail>
Memorial Division of Pediatric Complex Care · doing business as
Memorial Division of Pediatric Complex Care · doing business as

Authorized official

Esther Surujon
Chief Financial Officer MPG and MPC
(954) 265-6677

Verify this record

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.

Is this your record? How to update it.

About NPI 1063013787

South Broward Hospital District's National Provider Identifier is 1063013787, issued on Nov 9, 2020. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Hollywood, FL. The record was last updated on Oct 3, 2025.