Organization · Type 2 NPI

South Broward Hospital District

Radiation Oncology Physician · Hollywood, FL

NPI number 1285314310 Active

Practice location

3501 Johnson St
Hollywood, FL 33021-5421

Call (954) 265-8000 Map

Fax (954) 276-0471

Mailing address

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

Other practice locations

12235 Pines Blvd, Pembroke Pines, FL 33026-4119 · (954) 844-9899

Specialties and licenses

Taxonomy	Code	License
Radiation Oncology Physician Primary	2085R0001X	None listed

Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

479 other providers at this address

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NPI record

NPI: 1285314310
Entity type: Organization (Type 2)
Issued: Jul 24, 2023
Last updated: Jul 24, 2023
Status: Active
Subpart: Yes of South Broward Hospital District

Other names

Memorial Division of Radiation Oncology · 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 1285314310

South Broward Hospital District's National Provider Identifier is 1285314310, issued on Jul 24, 2023. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Hollywood, FL. The record was last updated on Jul 24, 2023.