Organization · Type 2 NPI

South Broward Hospital District

Family Medicine Physician · Miramar, FL

NPI number 1194499863 Active

Practice location

1951 SW 172nd Ave Ste 210
Miramar, FL 33029-5613

Call (954) 265-2789 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 other providers at this address

Other family medicine physician providers in Miramar

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NPI record

NPI: 1194499863
Entity type: Organization (Type 2)
Issued: Aug 5, 2021
Last updated: Aug 5, 2021
Status: Active
Subpart: Yes of South Broward Hospital District

Other names

Memorial Primary Care Miramar Mob · doing business as

Authorized official

Esther Surujon
CFO Mpg, MPC and Ucc
(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 1194499863

South Broward Hospital District's National Provider Identifier is 1194499863, issued on Aug 5, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Miramar, FL. The record was last updated on Aug 5, 2021.