Organization · Type 2 NPI

South Broward Hospital District

Pediatric Surgery Physician · Hollywood, FL

NPI number 1306177589 Active

Practice location

1150 N 35th Ave, Suite 555
Hollywood, FL 33021-5424

Call (954) 265-0072 Map

Fax (954) 981-0188

Mailing address

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

Other practice locations

  • 20803 Biscayne Blvd Ste 204-A, Aventura, FL 33180-1469 · (954) 265-0072
  • 5830 Coral Ridge Dr Ste 140, Coral Springs, FL 33076-3388 · (954) 265-0072
  • 3377 N State Rd 7 Suite 100, Wellington, FL 33449-8082 · (954) 265-0072
  • 1865 N Corporate Lakes Blvd Ste 1, Weston, FL 33326-3273 · (954) 265-0072
  • 1971 SW 172nd Ave Ste 2500, Miramar, FL 33029-5621 · (954) 265-0072

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120X48741 (FL)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1306177589

South Broward Hospital District's National Provider Identifier is 1306177589, issued on Jan 27, 2010. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Hollywood, FL. The record was last updated on May 21, 2025.