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Organization
SOUTH BROWARD HOSPITAL DISTRICT
Active
Organization
SOUTH BROWARD HOSPITAL DISTRICT
Active
Other names
Memorial Division of Pediatric Rehabilitative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
NINA BEAUCHESNE (SR. VICE PRESIDENT)
(954) 265-6996
Entity
Organization
Contact information
Practice address
4651 SHERIDAN STREET, SUITE 150, HOLLYWOOD, FL 33024
(954) 265-6331
(954) 965-6480
Mailing address
2900 CORPORATE WAY, MPG DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5581
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
—
NULL
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
—
—
Other
Enumeration date
04/09/2013
Last updated
08/25/2014
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