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

South Broward Hospital District

Organization Sports Medicine (Internal Medicine) Physician · NPI 1740951144

South Broward Hospital District is a Sports Medicine (Internal Medicine) Physician in Hollywood, Florida. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1150 N 35th Ave Ste 130
Hollywood, FL 33021-5424
Phone: (954) 276-7700
Fax: (954) 276-0021
Show map & directions

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

Specialties & licences

Sports Medicine (Internal Medicine) Physician (primary) Taxonomy 207RS0010X

Record details

NPI number1740951144
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 Primary Care Sports Medicine
NPI enumeratedSeptember 24, 2021
Last updated in NPPESSeptember 24, 2021
Certification dateSeptember 24, 2021
Mailing address2900 Corporate Way, Door D, Miramar, FL 33025-3925