Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Memorial Division of Pediatric Otolaryngology

Organization Physician Assistant · NPI 1053657650

Memorial Division of Pediatric Otolaryngology is a Physician Assistant in Hollywood, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012

Practice location Address checks out

1150 N 35th Ave Ste 490
Hollywood, FL 33021-5424
Phone: (954) 265-1616
Fax: (954) 893-6325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9106938 (FL)

Record details

NPI number1053657650
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Ostrower — Otolaryngologist · (954) 265-1616
NPI enumeratedDecember 31, 2012
Last updated in NPPESDecember 31, 2012
Mailing address1150 N 35th Ave, Suite 490, Hollywood, FL 33021-5424

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