Organization · Type 2 NPI

South Broward Hospital District

Pediatric Surgery Physician · Hollywood, FL

NPI number 1376550392 Active

Practice location

1150 N 35th Ave Ste 490
Hollywood, FL 33021-5423

Call (954) 265-3437 Map

Fax (954) 265-3731

Mailing address

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

Other practice locations

3501 Johnson St Fl 1, Hollywood, FL 33021-5421 · (954) 265-3437
3377 S State Rd 7, Suite 100, Wellington, FL 33449 · (954) 265-3437
1971 SW 172nd Ave Ste 490, Miramar, FL 33029-5592 · (954) 265-3437

Specialties and licenses

Taxonomy	Code	License
Pediatric Surgery Physician Primary	2086S0120X	None listed

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

28 other providers at this address

Other pediatric surgery physician providers in Hollywood

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NPI record

NPI: 1376550392
Entity type: Organization (Type 2)
Issued: Aug 2, 2006
Last updated: Aug 31, 2023
Status: Active
Subpart: Yes of South Broward Hospital District

Other names

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Memorial Division of Pediatric Cardiac Surgery · doing business as

Authorized official

Esther Surujon
CFO, Memorial Physician Group & SBC
(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 1376550392

South Broward Hospital District's National Provider Identifier is 1376550392, issued on Aug 2, 2006. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Hollywood, FL. The record was last updated on Aug 31, 2023.