# SOUTH BROWARD HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTH BROWARD HOSPITAL DISTRICT
- **Other names:** Memorial Primary Care Sports Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548937907
- **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:** 1951 SW 172ND AVE STE 405, MIRAMAR, FL 33029-5614
- **Practice address phone:** (954) 265-7550
- **Practice address fax:** (954) 276-0250
- **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 |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/24/2021
- **Last updated:** 08/30/2023