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

South Broward Hospital District

Organization Pediatrics Physician · NPI 1063013787

South Broward Hospital District is a Pediatrics Physician in Hollywood, Florida. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

1005 Joe Dimaggio Dr Pediatrics Fl 4
Hollywood, FL 33021-5402
Phone: (954) 265-6331
Fax: (954) 893-6244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1971 Sw 172nd Ave Ste 2500, Miramar, FL 33029-5621 — (954) 265-4494

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1063013787
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouth Broward Hospital District
Authorized official Esther Surujon — Chief Financial Officer Mpg And Mpc · (954) 265-6677
Other names Memorial Division Of Pediatric Complex Care; Memorial Division Of Pediatric Complex Care
NPI enumeratedNovember 9, 2020
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025
Mailing address2900 Corporate Way, Door D, Miramar, FL 33025-3925

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