# SOUTH BROWARD HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEMORIAL DIVISION OF CARDIAC ELECTROPHYSIOLOGY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104229236
- **Authorized official:** NINA BEAUCHESNE (SR VICE PRESIDENT MHS)
- **Authorized official phone:** (954) 265-6996

## Contact information

- **Practice address:** 1150 N 35TH AVE, SUITE 605, HOLLYWOOD, FL 33021-5424
- **Practice address phone:** (954) 265-6939
- **Practice address fax:** (954) 265-6405
- **Mailing address:** 2900 CORPORATE WAY, MPG DOOR D, MIRAMAR, FL 33025-3925
- **Mailing address phone:** (954) 276-5581
- **Mailing address fax:** (954) 985-7074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2014
- **Last updated:** 10/15/2014