# SOUTH BROWARD HOSPITAL DISTRICT

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

## Provider details

- **NPI number:** 1538497086
- **Legal business name:** SOUTH BROWARD HOSPITAL DISTRICT
- **Authorized official:** NINA BEAUCHESNE (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (954) 265-3451

## Contact information

- **Practice address:** 1150 N 35TH AVE STE 440, HOLLYWOOD, FL 33021
- **Practice address phone:** (954) 265-6356
- **Practice address fax:** (954) 985-5154
- **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 |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2009
- **Last updated:** 04/30/2019