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

South Broward Hospital District

Organization Pediatric Otolaryngology Physician · NPI 1063704559

South Broward Hospital District is a Pediatric Otolaryngology Physician in Hollywood, Florida. Works from 5 locations. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

1131 N 35th Ave Ste 300
Hollywood, FL 33021-5403
Phone: (954) 265-3030
Fax: (954) 893-6301
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 5830 Coral Ridge Dr Ste 140, Coral Springs, FL 33076-3388 — (954) 265-1616
  • 4651 Sheridan St Ste 150, Hollywood, FL 33021-3443 — (954) 276-1550
  • 1971 Sw 172nd Ave Ste 2300, Miramar, FL 33029-5625 — (954) 265-1616
  • 3377 S State Road 7 Ste 100, Wellington, FL 33449-8002 — (561) 341-7000

Specialties & licences

Pediatric Otolaryngology Physician (primary) Taxonomy 207YP0228X

Record details

NPI number1063704559
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouth Broward Hospital District
Authorized official Esther Surujon — Cfo Mpg, Mpc And Ucc · (954) 265-6677
Other names Memorial Division Of Pediatric Otolaryngology
NPI enumeratedMay 3, 2011
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025
Mailing address2900 Corporate Way, Door D, Miramar, FL 33025-3925

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