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

Memorial Medical Group of South Florida, LLC

Organization Physician Assistant · NPI 1336806801

Memorial Medical Group of South Florida, LLC is a Physician Assistant in Hollywood, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4000 Hollywood Blvd Ste 555S
Hollywood, FL 33021-6853
Phone: (754) 273-0885
Fax: (833) 955-3596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1336806801
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Marshall — Medical Director · (754) 273-0885
Other names Memorial Mental Health Of South Florida
NPI enumeratedNovember 19, 2021
Last updated in NPPESNovember 19, 2021
Certification dateAugust 6, 2020
Mailing address16000 Pines Boulevard, 822503, Pembroke Pines, FL 33082-2503

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