# SOUTH BROWARD HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Memorial Division of Professional Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285641209
- **Authorized official:** MARIO SALCEDA-CRUZ (ADMINISTRATOR)
- **Authorized official phone:** (954) 265-4684

## Contact information

- **Practice address:** 3501 JOHNSON STREET, HOLLYWOOD, FL 33021
- **Practice address phone:** (954) 987-2000
- **Practice address fax:** (954) 985-5691
- **Mailing address:** 2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
- **Mailing address phone:** (954) 276-5685
- **Mailing address fax:** (954) 985-7074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 08/02/2006
- **Last updated:** 02/16/2017