Organization · Type 2 NPI

South Broward Hospital District

Sports Medicine (Internal Medicine) Physician · Hollywood, FL

NPI number 1740951144 Active

Practice location

1150 N 35th Ave Ste 130
Hollywood, FL 33021-5424

Call (954) 276-7700 Map

Fax (954) 276-0021

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Internal Medicine) Physician Primary	207RS0010X	None listed

Sports Medicine (Internal Medicine) Physician: An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psycho…

9 other providers at this address

NPI record

NPI: 1740951144
Entity type: Organization (Type 2)
Issued: Sep 24, 2021
Last updated: Sep 24, 2021
Status: Active
Subpart: Yes of South Broward Hospital District

Other names

Memorial Primary Care Sports Medicine · doing business as

Authorized official

Esther Surujon
CFO Mpg, MPC & 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 1740951144

South Broward Hospital District's National Provider Identifier is 1740951144, issued on Sep 24, 2021. The primary taxonomy on file is Sports Medicine (Internal Medicine) Physician (207RS0010X), and the practice location is in Hollywood, FL. The record was last updated on Sep 24, 2021.