SOUTH BROWARD HOSPITAL DISTRICT (NPI# 1336504075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336504075 |
Entity Type | Organization |
Organization Name | SOUTH BROWARD HOSPITAL DISTRICT |
Other Organization Name | MEMORIAL DIVISION OF CHILD/ADOLESCENT PSYCHIATRY |
Practice Address |
1150 N 35th Ave Ste 560 Hollywood FL 33021-5431 |
Mailing Address |
2900 Corporate Way Mpg Door D Miramar FL 33025-3925 |
Practice Telephone | 9542651370 |
Practice Fax Number | 9542651375 |
Mailing Telephone | 9542763254 |
Mailing Fax Number | 9542760154 |
Enumeration Date | 2015-12-23 |
Last Update Date | 2018-05-01 |
Authorized Official Name | NINA BEAUCHESNE (SR. VICE PRESIDENT MHS) |
Authorized Official Telephone | 9542656996 |
Is Organization Subpart | Y |
Parent Organization Name | SOUTH BROWARD HOSPITAL DISTRICT |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Memorial Division of Child/Adolescent Psychiatry | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
1150 N 35th Ave Ste 520, Hollywood, FL 330215431 | 9542653500 | 9549854230 |
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 |
1205270907 | South Broward Hospital District | Neurological Surgery | 4650 Sheridan St, Suite 150, Hollywood, FL 33021 | 2013-04-24 |
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 |
Street Address |
1150 N 35TH AVE STE 560 |
City | HOLLYWOOD |
State | FL |
Zip Code | 33021-5431 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811076011 | Elba Amalia Iglesias | Pediatrics | 1150 N 35th Ave Ste 560, Hollywood, FL 33021 | 2006-11-06 |
1124658901 | Beatriz Pola Rabassa | Dietitian, Registered | 1150 N 35th Ave Ste 560, Hollywood, FL 33021-5431 | 2020-01-22 |
1760991798 | Brandy Hughey | Social Worker | 1150 N 35th Ave Ste 560, Hollywood, FL 33021-5431 | 2017-09-21 |
1407208952 | South Broward Hospital District | Pediatrics | 1150 N 35th Ave Ste 560, Hollywood, FL 33021 | 2016-07-08 |
1801000971 | Celine Alyssa Hamilton | Pediatrics | 1150 N 35th Ave Ste 560, Hollywood, FL 33021-5431 | 2007-05-09 |
1083740484 | David M Rube | Psychiatry & Neurology | 1150 N 35th Ave Ste 560, Hollywood, FL 33021 | 2007-02-27 |
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 | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740463918 | Neuropsychiatric Solutions Institute, Inc. | Psychiatry & Neurology | 3501 Johnson St, Hollywood, FL 33021-5421 | 2007-12-11 |
1083740484 | David M Rube | Psychiatry & Neurology | 1150 N 35th Ave Ste 560, Hollywood, FL 33021 | 2007-02-27 |
1700874724 | Daniel Ivan Bober | Psychiatry & Neurology | 4440 Sheridan St, Hollywood, FL 33021-3535 | 2005-10-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427670959 | Md Support, LLC | Psychiatry & Neurology | 1110 Pinellas Bayway S Ste 102, Saint Petersburg, FL 33715-1506 | 2020-05-06 |
1700412947 | Clearminder Inc | Psychiatry & Neurology | 6801 Lake Worth Rd Ste 213-214, Greenacres, FL 33467-2955 | 2020-03-19 |
1407495575 | Doctor Sam, LLC | Psychiatry & Neurology | 2600 N Military Trl Ste 355, Boca Raton, FL 33431-6312 | 2020-01-06 |
1053876524 | A & P Psychiatric Services, Pllc | Psychiatry & Neurology | 233 Porgee Rock Pl, Jupiter, FL 33458-1635 | 2019-02-08 |
1568937894 | D'morffi Family Services, L.l.c | Psychiatry & Neurology | 13475 Southern Blvd Ste 100, Loxahatchee, FL 33470-9233 | 2018-10-13 |
1548775273 | Embrace To Empower Wellness Center | Psychiatry & Neurology | 4720 Cleveland Heights Blvd Ste 305, Lakeland, FL 33813-2246 | 2017-12-04 |
1952829137 | Child and Adolescent Tampa Bay Psychiatry, LLC | Psychiatry & Neurology | 100 S Ashley Dr Ste 600, Tampa, FL 33602-5300 | 2017-09-07 |
1386183580 | Dr2go, Inc | Psychiatry & Neurology | 8860 Sw 123rd Ct, Miami, FL 33186-4152 | 2017-02-21 |
1851746069 | Hannah Elizabeth Morrissey | Psychiatry & Neurology | University of Florida Psychiatry Residency, 4037 Nw 86th Terrace, Gainesville, FL 32610-0001 | 2016-04-26 |
1891150488 | Tampa Bay Psychiatric Services Pl | Psychiatry & Neurology | 5664 Marquesas Cir, Sarasota, FL 34233-3331 | 2015-12-23 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on SOUTH BROWARD HOSPITAL DISTRICT.
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.