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

South Broward Hospital District

Organization Child & Adolescent Psychiatry Physician · NPI 1336504075

South Broward Hospital District is a Child & Adolescent Psychiatry Physician in Hollywood, Florida. Works from 2 locations. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

3440 Hollywood Blvd Ste 360
Hollywood, FL 33021-6934
Phone: (954) 276-9200
Fax: (954) 275-0733
Show map & directions

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

Additional practice locations (1)

  • 5458 Town Center Rd Ste 102, Boca Raton, FL 33486-1026 — (954) 276-9200

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X

Record details

NPI number1336504075
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 Child/Adolescent Psychiatry; Memorial Division Of Child/Adolescent Psychiatry
NPI enumeratedDecember 23, 2015
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing address2900 Corporate Way, Mpg Door D, Miramar, FL 33025-3925

Other providers in Hollywood