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SOUTH BROWARD HOSPITAL DISTRICT NPI 1407865520


NPI Information

NPI: 1407865520
Provider Name: SOUTH BROWARD HOSPITAL DISTRICT

Doing Business As: MEMORIAL DIVISION OF PEDIATRIC ORTHOPEDICS

Classification: Orthopaedic Surgery - 207XP3100X
Entity Type: Organization

Specialization: Pediatric Orthopaedic Surgery

CLIA Number: 10D2093140

Address:
1150 N 35TH AVE STE 300
HOLLYWOOD, FL
ZIP 33021
Phone: (954) 265-6300
Get Directions

SOUTH BROWARD HOSPITAL DISTRICT is a pediatric orthopaedic surgery orthopaedic surgery in Hollywood, FL. The provider is an orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. SOUTH BROWARD HOSPITAL DISTRICT NPI is 1407865520. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Memorial Division Of Pediatric Orthopedics.

The provider's business location address is:

1150 N 35TH AVE STE 300
HOLLYWOOD, FL
ZIP 33021-428
Phone: (954) 265-6300
Fax: (954) 961-3600

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 10D2093140 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 8/30/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryYes

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: 5/5/2024

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