# SOUTH BROWARD HOSPITAL DISTRICT

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

## Provider details

- **NPI number:** 1659389161
- **Legal business name:** SOUTH BROWARD HOSPITAL DISTRICT
- **Authorized official:** ESTHER SURUJON (CFO MPG, MPC & UCC)
- **Authorized official phone:** (954) 265-6677

## Contact information

- **Practice address:** 3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
- **Practice address phone:** (954) 985-5969
- **Practice address fax:** (954) 965-3599
- **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 |
| --- | --- | --- | --- | --- |
| 2086S0127X | Trauma Surgery Physician | — | NULL | Yes |
| 2086S0127X | Trauma Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 08/23/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 038184510 | — | FL |