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

South Broward Hospital District

Organization Family Medicine Physician · NPI 1194499863

South Broward Hospital District is a Family Medicine Physician in Miramar, Florida. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

1951 SW 172nd Ave Ste 210
Miramar, FL 33029-5613
Phone: (954) 265-2789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1194499863
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 Primary Care Miramar Mob
NPI enumeratedAugust 5, 2021
Last updated in NPPESAugust 5, 2021
Certification dateAugust 5, 2021
Mailing address2900 Corporate Way, Door D, Miramar, FL 33025-3925

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