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

South Broward Hospital District

Organization Neurology with Special Qualifications in Child Neurology Physician · NPI 1962706721

South Broward Hospital District is a Neurology with Special Qualifications in Child Neurology Physician in Hollywood, Florida. Works from 3 locations. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

1150 N 35th Ave Ste 520
Hollywood, FL 33021-5431
Phone: (954) 265-2423
Fax: (954) 961-4860
Show map & directions

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

Additional practice locations (2)

  • 1971 Sw 172nd Ave Ste 2200, Miramar, FL 33029-5625 — (954) 265-2423
  • 3377 S State Road 7 Ste 100, Wellington, FL 33449-8002 — (561) 341-7000

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X

Record details

NPI number1962706721
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouth Broward Hospital District
Authorized official Esther Surujon — Cfo Memorial Physician Group & Mpc · (954) 265-6677
Other names Memorial Division Of Pediatric Neurology; Memorial Division Of Pediatric Neurology
NPI enumeratedJanuary 7, 2011
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025
Mailing address2900 Corporate Way, Mpg Door D, Miramar, FL 33025-3925

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