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SOUTH BROWARD HOSPITAL DISTRICT NPI 1053061754


NPI Information

NPI: 1053061754
Provider Name: SOUTH BROWARD HOSPITAL DISTRICT

Doing Business As: MEMORIAL PRIMARY CARE 40 AVENTURA

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2257409

Address:
20801 BISCAYNE BLVD STE 201
AVENTURA, FL
ZIP 33180
Phone: (305) 682-2740
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SOUTH BROWARD HOSPITAL DISTRICT is a family medicine in Aventura, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOUTH BROWARD HOSPITAL DISTRICT NPI is 1053061754. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Memorial Primary Care 40 Aventura.

The provider's business location address is:

20801 BISCAYNE BLVD STE 201
AVENTURA, FL
ZIP 33180-422
Phone: (305) 682-2740
Fax: (954) 276-1043

The provider's authorized official is Esther Surujon .
The authorized official title is Cfo Mpg, Mpc And Ucc and has the following contact phone number (954) 265-6677.

The CLIA number assigned to this NPI record is 10D2257409 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/25/2022 and was last updated on 4/4/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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