# SOUTH BROWARD HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Memorial Healthcare System
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194794511
- **Authorized official:** MR. FREDRICK BUSHKIN M.D. (DIRECTOR MEDICAL STAFF)
- **Authorized official phone:** (954) 987-2000

## Contact information

- **Practice address:** 3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
- **Practice address phone:** (954) 987-2020
- **Mailing address:** 3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
- **Mailing address phone:** (954) 987-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/16/2006
- **Last updated:** 11/18/2020