SOUTH BROWARD HOSPITAL DISTRICT NPI 1548937907

NPI Information

NPI: 1548937907
Provider Name: SOUTH BROWARD HOSPITAL DISTRICT

Doing Business As: MEMORIAL PRIMARY CARE SPORTS MEDICINE

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1951 SW 172ND AVE STE 405
MIRAMAR, FL
ZIP 33029
Phone: (954) 265-7550
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SOUTH BROWARD HOSPITAL DISTRICT is a multi-specialty clinic center in Miramar, FL. SOUTH BROWARD HOSPITAL DISTRICT NPI is 1548937907. The provider is registered as an organization entity type.
The provider Is Doing Business As Memorial Primary Care Sports Medicine.

The provider's business location address is:

1951 SW 172ND AVE STE 405
MIRAMAR, FL
ZIP 33029-614
Phone: (954) 265-7550
Fax: (954) 276-0250

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 enumeration date for this NPI number is 8/24/2021 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
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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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