SOUTH BROWARD HOSPITAL DISTRICT (NPI# 1962991562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962991562 |
| Entity Type | Organization |
| Organization Name | SOUTH BROWARD HOSPITAL DISTRICT |
| Other Organization Name | MEMORIAL DIVISION OF ADVANCED HEART FAILURE |
| Practice Address |
3501 Johnson St Fl 1 Hollywood FL 33021 |
| Mailing Address |
2900 Corporate Way Door D Miramar FL 33025-3925 |
| Practice Telephone | 9542657750 |
| Practice Fax Number | 9542760280 |
| Mailing Telephone | 9542765685 |
| Mailing Fax Number | 9549857074 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | ESTHER SURUJON (CFO MEMORIAL PHYSICIAN GROUP & MPC) |
| Authorized Official Telephone | 9542656677 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH BROWARD HOSPITAL DISTIRCT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Memorial Division of Advanced Heart Failure | Doing Business As Name - Organization |
| Memorial Division of Advanced Heart Failure Transplant | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 603 N Flamingo Rd Ste 260, Pembroke Pines, FL 330281013 | 9542657750 | 9542760280 |
| 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 |
3501 JOHNSON ST FL 1 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801844089 | Ioana Dumitru | Internal Medicine | 3501 Johnson St Fl 1, Hollywood, FL 33021 | 2006-05-04 |
| 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 | 207RA0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Advanced Heart Failure and Transplant Cardiology |
| Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. |
| Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255367306 | Daniel L Dries | Internal Medicine | 1801 Nw 9th Ave Fl 5, Miami, FL 33136-1125 | 2006-06-23 |
| 1831799055 | University of Miami | Internal Medicine | 1321 Nw 14th St Ste 510, Miami, FL 33125-1659 | 2020-10-27 |
| 1861028409 | Chf Care Pllc | Internal Medicine | 4211 Van Dyke Rd, Lutz, FL 33558-8005 | 2020-03-16 |
| 1861044935 | Tiffany Graham-moore | Internal Medicine | 180 Jfk Dr Ste 340, Atlantis, FL 33462-6641 | 2019-07-09 |
| 1598007346 | Saleh El Dassouki | Internal Medicine | 1611 Nw 12th Ave, Room 1004, Miami, FL 33136-1005 | 2013-03-20 |
| 1720354921 | Sajid Muneer Mirza | Internal Medicine | 180 Jfk Dr Ste 320, Atlantis, FL 33462 | 2012-04-02 |
| 1366607822 | Parag Patel | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2008-07-24 |
| 1467639799 | Juan Leoni Moreno | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2008-01-29 |
| 1386603934 | David L. Smull | Internal Medicine | 1223 Gateway Dr Ste 2f, Melbourne, FL 32901 | 2006-03-22 |
| 1699762856 | Daniel Yip | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2005-10-03 |
| 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.