Organization · Type 2 NPI

South Broward Hospital District

Transplant Surgery Physician · Hollywood, FL

NPI number 1093262248 Active

Practice location

1150 N 35th Ave Ste 390
Hollywood, FL 33021-5429

Call (954) 265-7450 Map

Fax (954) 265-7459

Mailing address

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

Other practice locations

300 S Park Rd Ste 400, Hollywood, FL 33021-8353 · (954) 265-7450

Specialties and licenses

Taxonomy	Code	License
Transplant Surgery Physician Primary	204F00000X	None listed

Transplant Surgery Physician: A surgeon who specializes in transplant surgery.

6 other providers at this address

NPI record

NPI: 1093262248
Entity type: Organization (Type 2)
Issued: Sep 6, 2016
Last updated: Nov 6, 2025
Status: Active
Subpart: Yes of South Broward Hospital District

Other names

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Memorial Division of Kidney Transplant · doing business as

Authorized official

Esther Surujon
CFO Mpg, MPC and Ucc
(954) 276-9220

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About NPI 1093262248

South Broward Hospital District's National Provider Identifier is 1093262248, issued on Sep 6, 2016. The primary taxonomy on file is Transplant Surgery Physician (204F00000X), and the practice location is in Hollywood, FL. The record was last updated on Nov 6, 2025.