# EMERALD HILLS MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407864481
- **Authorized official:** DERWIN WESTERBURGER OWNER (OWNER)
- **Authorized official phone:** (954) 578-0200

## Contact information

- **Practice address:** 3990 SHERIDAN ST STE 101, HOLLYWOOD, FL 33021-3655
- **Practice address phone:** (954) 987-4455
- **Practice address fax:** (954) 964-7342
- **Mailing address:** 3990 SHERIDAN ST STE 101, HOLLYWOOD, FL 33021-3655
- **Mailing address phone:** (954) 987-4455
- **Mailing address fax:** (954) 964-7342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DS1649 | FL | — |
| 207Q00000X | Family Medicine Physician | ME94228 | FL | — |
| 207R00000X | Internal Medicine Physician | DS2368 | FL | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 11/05/2018