SOUTH BROWARD HOSPITAL DISTRICT (NPI# 1205270907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205270907 |
| Entity Type | Organization |
| Organization Name | SOUTH BROWARD HOSPITAL DISTRICT |
| Other Organization Name | MEMORIAL DIVISION OF PEDIATRIC NEUROSURGERY |
| Practice Address |
4650 Sheridan St Suite 150 Hollywood FL 33021 |
| Mailing Address |
4651 Sheridan St Suite 150 Hollywood FL 33021 |
| Practice Telephone | 9542653500 |
| Practice Fax Number | 9549890454 |
| Mailing Telephone | 9542653500 |
| Mailing Fax Number | 9549890454 |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |
| Authorized Official Name | MARIO SALCEDA (ADMINISTRATOR) |
| Authorized Official Telephone | 9542765572 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH BROWARD HOSPITAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MEMORIAL DIVISION OF PEDIATRIC NEUROSURGERY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386297513 | South Broward Hospital District | Clinic/Center | 7369 Sheridan St Ste 302b, Hollywood, FL 33024-2776 | 2019-07-17 |
| 1598321051 | South Broward Hospital District | Internal Medicine | 7369 Sheridan St Ste 302, Hollywood, FL 33024-2776 | 2019-05-10 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1821538505 | South Broward Hospital District | Pharmacy | 9571 Premier Pkwy, Miramar, FL 33025-3206 | 2017-03-01 |
| 1245656792 | South Broward Hospital District | Clinical Neuropsychologist | 3600 Washington St Ste 1005, Hollywood, FL 33021-8216 | 2014-03-07 |
| 1043656614 | South Broward Hospital District | Pharmacy | 9579 Premier Pkwy, Miramar, FL 33025-3206 | 2013-05-22 |
| 1780027870 | South Broward Hospital District | Physical Medicine & Rehabilitation | 4651 Sheridan Street, Suite 150, Hollywood, FL 33024 | 2013-04-09 |
| 1790076115 | South Broward Hospital District | Pediatrics | 1131 N 35th Ave Ste 220, Hollywood, FL 33021-5403 | 2011-04-20 |
| 1790867133 | South Broward Hospital District | General Acute Care Hospital | 2900 Corporate Way, Miramar, FL 33025-3925 | 2006-10-19 |
| 1407865520 | South Broward Hospital District | Orthopaedic Surgery | 1150 N. 35th Avenue, Suite 345, Hollywood, FL 33021-5424 | 2006-08-07 |
| Street Address |
4650 SHERIDAN ST SUITE 150 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902185143 | Sunrise Medical Group I, LLC | Neurological Surgery | 4925 Sheridan St Ste 200, Hollywood, FL 33021-2834 | 2011-08-05 |
| 1811106578 | Carlos Eduardo Casas-reyes | Neurological Surgery | 3990 Sheridan St Ste 106, Hollywood, FL 33021-3655 | 2007-05-21 |
| 1871667709 | Donald Giulianti | Neurological Surgery | 3510 N 32nd Ter, Hollywood, FL 33021-2619 | 2006-11-20 |
| 1114931888 | South Broward Hospital District | Neurological Surgery | 1150 N 35th Ave Ste 300, Hollywood, FL 33021-5428 | 2006-07-28 |
| 1023000148 | Greg Zorman | Neurological Surgery | 1150 N 35 Ave, Suite 300, Hollywood, FL 33021 | 2005-08-16 |
| 1174080691 | Florida Ortho Care Network, LLC | Neurological Surgery | 6067 Hollywood Blvd Ste 201, Hollywood, FL 33024-7922 | 2019-02-21 |
| 1831691716 | South Florida Spinal Neurosurgery Associates LLC | Neurological Surgery | 5700 Stirling Rd Ste 100, Hollywood, FL 33021-1522 | 2018-03-06 |
| 1265774079 | Simon S Buttrick | Neurological Surgery | 1150 N 35th Ave Ste 300, Hollywood, FL 33021-5428 | 2013-03-19 |
| 1770872467 | Scott Joseph Raffa | Neurological Surgery | 1150 N 35th Ave Ste 300, Hollywood, FL 33021-5428 | 2011-04-04 |
| 1780905398 | Daxa M Patel | Neurological Surgery | 1150 N 35th Ave Ste 520, Hollywood, FL 33021 | 2010-06-17 |
| Find all providers in HOLLYWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.