# SOUTH BROWARD HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTH BROWARD HOSPITAL DISTRICT
- **Other names:** Memorial Division of Child/Adolescent Psychiatry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336504075
- **Legal business name:** SOUTH BROWARD HOSPITAL DISTRICT
- **Authorized official:** ESTHER SURUJON (CFO MPG, MPC AND UCC)
- **Authorized official phone:** (954) 265-6677

## Contact information

- **Practice address:** 3440 HOLLYWOOD BLVD STE 360, HOLLYWOOD, FL 33021-6934
- **Practice address phone:** (954) 276-9200
- **Practice address fax:** (954) 275-0733
- **Mailing address:** 2900 CORPORATE WAY, MPG DOOR D, MIRAMAR, FL 33025-3925
- **Mailing address phone:** (954) 276-3254
- **Mailing address fax:** (954) 276-0154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/23/2015
- **Last updated:** 07/14/2025