SOUTH BROWARD HOSPITAL DISTRICT (NPI# 1962706721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962706721 |
| Entity Type | Organization |
| Organization Name | SOUTH BROWARD HOSPITAL DISTRICT |
| Practice Address |
1150 N 35th Ave Suite 520 Hollywood FL 33021 |
| Mailing Address |
2900 Corporate Way Mpg Door D Miramar FL 33025-3925 |
| Practice Telephone | 9542652423 |
| Practice Fax Number | 9549614860 |
| Mailing Telephone | 9542765685 |
| Mailing Fax Number | 9549857074 |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2020-03-06 |
| Authorized Official Name | ESTHER SURUJON (CFO MEMORIAL PHYSICIAN GROUP & MPC) |
| Authorized Official Telephone | 9542656677 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH BROWARD HOSPITAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians |
| 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 SUITE 520 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336144641 | Hoang Duong | Radiology | 1150 N 35th Ave, Ste 300, Hollywood, FL 33021 | 2005-06-15 |
| 1457868861 | Archana John | Nurse Practitioner | 1150 N 35th Ave, Ste 300, Hollywood, FL 33021 | 2018-01-08 |
| 1003326281 | Fiorella Jahaira Saka | Nurse Practitioner | 1150 N 35th Ave, Suite 590, Hollywood, FL 33021-2118 | 2017-10-02 |
| 1790218865 | All Women's Healthcare, Inc | Obstetrics & Gynecology | 1150 N 35th Ave, Suite 550 B, Hollywood, FL 33021-5424 | 2017-04-06 |
| 1265972004 | Claudia Cortes | Physician Assistant | 1150 N 35th Ave, Suite 445, Hollywood, FL 33021-5424 | 2017-02-27 |
| 1669917837 | South Broward Hospital District | Internal Medicine | 1150 N 35th Ave, Hollywood, FL 33021-5424 | 2016-12-27 |
| 1114462207 | Lali B Parathalackal | Nurse Practitioner | 1150 N 35th Ave, Ste 460, Hollywood, FL 33021 | 2016-12-27 |
| 1598216681 | Sara Shemella | Physician Assistant | 1150 N 35th Ave, #575, Hollywood, FL 33021-5424 | 2016-10-24 |
| 1831542182 | Michael Medical Associates LLC | Internal Medicine | 1150 N 35th Ave, Suite 240, Hollywood, FL 33021-5424 | 2016-07-21 |
| 1821442922 | Layla Silverman | Dietitian, Registered | 1150 N 35th Ave, Suite 270, Hollywood, FL 33021-5424 | 2016-04-15 |
| Find all providers in the same location | ||||
| 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 | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early 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 |
|---|---|---|---|---|
| 1912116450 | Tatyana Dubrovsky | Psychiatry & Neurology | 1150 N 35th Ave Ste 520, Hollywood, FL 33021 | 2007-05-22 |
| 1710924956 | Child Neurology LLC | Psychiatry & Neurology | 4440 Sheridan Street, Hollywood, FL 33021 | 2006-05-31 |
| 1942692058 | Melvin M. Grossman, M.d. | Psychiatry & Neurology | 4700 Sheridan St, Suite U, Hollywood, FL 33021-3420 | 2015-02-26 |
| 1487898045 | Sima Parikh | Psychiatry & Neurology | 1150 N 35th Ave, Suite 520, Hollywood, FL 33021 | 2009-04-27 |
| 1578727053 | Romeo K. Fernandez, M.d., P.a. | Psychiatry & Neurology | 3990 Sheridan St, Ste. #203, Hollywood, FL 33021-3661 | 2008-07-15 |
| 1346450384 | Syndi Anne Seinfeld | Psychiatry & Neurology | 1150 N 35th Ave Ste 520, Hollywood, FL 33021-5431 | 2007-05-22 |
| 1679644504 | Heidi Torocsik | Psychiatry & Neurology | 1150 N 35th Ave, Ste 520, Hollywood, FL 33021 | 2006-11-13 |
| 1952418626 | Romeo K Fernandez | Psychiatry & Neurology | 3990 Sheridan St, Suite 209/210, Hollywood, FL 33021-3661 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841724861 | Neuro and Epilepsy Care Inc | Psychiatry & Neurology | 331 N Maitland Ave Ste D3, Maitland, FL 32751-4755 | 2017-04-17 |
| 1407201510 | Robert Kropp | Psychiatry & Neurology | 100 Beach Dr Ne Unit 1702, Saint Petersburg, FL 33701-3969 | 2016-04-26 |
| 1497142178 | Gian Carlo Rossi | Psychiatry & Neurology | 1324 Lakeland Hills Blvd Ste A, Lakeland, FL 33805-4543 | 2015-04-21 |
| 1851638167 | Ernesto J. Millan Md. Pa. | Psychiatry & Neurology | 5110 N. Habana Ave. Suite #1, Tampa, FL 33614-6873 | 2013-01-07 |
| 1942557863 | Henry Osso-rivera | Psychiatry & Neurology | 3100 Sw 62nd Ave Ofc, Miami, FL 33155-3009 | 2012-08-09 |
| 1235492679 | Clermont Neurology,pa | Psychiatry & Neurology | 17307 Pagonia Dr., Suite 100, Clermont, FL 34711-5932 | 2012-06-20 |
| 1093073645 | Abigail E Ley | Psychiatry & Neurology | 150 Sw Chamber Ct Ste 120, Port Saint Lucie, FL 34986 | 2012-05-01 |
| 1033351317 | Danilo Augusto Duenas | Psychiatry & Neurology | 9900 S. Ocean Dr., (601), Jensen Beach, FL 34957 | 2009-04-01 |
| 1619125622 | Avi Elizabeth Domnitz-gebet | Psychiatry & Neurology | 5129 S Lakeland Dr Ste 2, Lakeland, FL 33813-2599 | 2008-09-03 |
| 1508021742 | Germano Falcao | Psychiatry & Neurology | 2984 Alafaya Trl Ste 2020, Oviedo, FL 32765-7628 | 2008-07-28 |
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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.