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

South Broward Hospital District

Organization Pediatric Adolescent Medicine Physician · NPI 1407208952

South Broward Hospital District is a Pediatric Adolescent Medicine Physician in Hollywood, Florida. Works from 2 locations. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

1150 N 35th Ave Ste 560
Hollywood, FL 33021
Phone: (954) 265-1460
Fax: (954) 265-1375
Show map & directions

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

Additional practice locations (1)

  • 1971 Sw 172nd Ave Ste 2500, Miramar, FL 33029-5621 — (954) 265-1460

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X

Record details

NPI number1407208952
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouth Broward Hospital District
Authorized official Esther Surujon — Cfo Mpg, Mpc & Ucc · (954) 265-6677
Other names Memorial Division Of Adolescent Medicine
NPI enumeratedJuly 8, 2016
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025
Mailing address2900 Corporate Way, Door D, Miramar, FL 33025-3925

Other providers in Hollywood