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

South Broward Hospital District

Organization Clinical Neuropsychologist · NPI 1245656792

South Broward Hospital District is a Clinical Neuropsychologist in Hollywood, Florida. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

3600 Washington St Ste 311
Hollywood, FL 33021-8216
Phone: (954) 518-5507
Fax: (954) 518-5510
Show map & directions

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

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X

Record details

NPI number1245656792
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouth Broward Hospital District
Authorized official Esther Surujon — Cfo Memorial Physician Group & Mpc · (954) 265-6677
Other names Memorial Division Of Rehabilitative Psychology
NPI enumeratedMarch 7, 2014
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023
Mailing address2900 Corporate Way, Door D, Miramar, FL 33025-3925

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