Organization · Type 2 NPI

South Broward Hospital District

General Practice Physician · Weston, FL

NPI number 1780368761 Active

Practice location

17130 Royal Palm Blvd
Weston, FL 33326-2311

Call (954) 276-1366 Map

Fax (954) 276-0386

Mailing address

2900 Corporate Way, Door D
Miramar, FL 33025

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

3 other providers at this address

Other general practice physician providers in Weston

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NPI record

NPI: 1780368761
Entity type: Organization (Type 2)
Issued: Jun 12, 2023
Last updated: Jun 12, 2023
Status: Active
Subpart: Yes of South Broward Hospital District

Other names

Memorial Primary Care Weston · doing business as

Authorized official

Esther Surujon
CFO Mpg, MPC and Ucc
(954) 265-6677

Verify this record

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 1780368761

South Broward Hospital District's National Provider Identifier is 1780368761, issued on Jun 12, 2023. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Weston, FL. The record was last updated on Jun 12, 2023.