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

South Broward Hospital District

Organization Psychiatry Physician · NPI 1417491127

South Broward Hospital District is a Psychiatry Physician in Hollywood, Florida. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

3440 Hollywood Blvd Ste 360
Hollywood, FL 33021-6934
Phone: (954) 276-9240
Fax: (954) 276-0103
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1417491127
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouth Broward Hospital District
Authorized official Esther Surujon — Cfo Mpg And Mpc · (954) 265-6677
Other names Memorial Division Of Psychiatry Services
NPI enumeratedDecember 14, 2016
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023
Mailing address2900 Corporate Way, Door D, Miramar, FL 33025-3925

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