Organization · Type 2 NPI

South Broward Hospital District

Pediatric Rehabilitation Medicine Physician · Wellington, FL

NPI number 1568030138 Active

Practice location

3377 S State Road 7
Wellington, FL 33449-8082

Call (954) 276-1600 Map

Fax (954) 893-6244

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Pediatric Rehabilitation Medicine Physician Primary	2081P0010X	None listed

Pediatric Rehabilitation Medicine Physician: A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabi…

5 other providers at this address

NPI record

NPI: 1568030138
Entity type: Organization (Type 2)
Issued: Jun 11, 2021
Last updated: Jul 28, 2021
Status: Active
Subpart: Yes of South Broward Hospital District

Other names

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Memorial Division of Pediatric Rehabilitation · doing business as

Authorized official

Esther Surujon
CFO Memorial Physician Group & MPC
(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 1568030138

South Broward Hospital District's National Provider Identifier is 1568030138, issued on Jun 11, 2021. The primary taxonomy on file is Pediatric Rehabilitation Medicine Physician (2081P0010X), and the practice location is in Wellington, FL. The record was last updated on Jul 28, 2021.