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

South Broward Hospital District

Organization Pediatric Surgery Physician · NPI 1306177589

South Broward Hospital District is a Pediatric Surgery Physician in Hollywood, Florida. Works from 6 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2010

Practice location Address checks out

1150 N 35th Ave Ste 555
Hollywood, FL 33021-5424
Phone: (954) 265-0072
Fax: (954) 981-0188
Show map & directions

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

Additional practice locations (5)

  • 20803 Biscayne Blvd Ste 204-A, Aventura, FL 33180-1469 — (954) 265-0072
  • 5830 Coral Ridge Dr Ste 140, Coral Springs, FL 33076-3388 — (954) 265-0072
  • 1971 Sw 172nd Ave Ste 2500, Miramar, FL 33029-5621 — (954) 265-0072
  • 3377 N State Rd 7 Suite 100, Wellington, FL 33449-8082 — (954) 265-0072
  • 1865 N Corporate Lakes Blvd Ste 1, Weston, FL 33326-3273 — (954) 265-0072

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence 48741 (FL)

Record details

NPI number1306177589
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 General Surgery
NPI enumeratedJanuary 27, 2010
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025
Mailing address2900 Corporate Way, Door D, Miramar, FL 33025-3925

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