# SOUTH BROWARD HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTH BROWARD HOSPITAL DISTRICT
- **Other names:** Memorial Division of Pediatric Nephrology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407520414
- **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:** 3377 S STATE ROAD 7 STE 100, WELLINGTON, FL 33449-8002
- **Practice address phone:** (561) 341-7000
- **Practice address fax:** (561) 341-7015
- **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 |
| --- | --- | --- | --- | --- |
| 2080P0210X | Pediatric Nephrology Physician | — | NULL | Yes |
| 2080P0210X | Pediatric Nephrology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2021
- **Last updated:** 08/03/2021