# SOUTH BROWARD HOSPITAL DISTRICT

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Memorial Division of Pediatric Rehabilitative Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780027870
- **Authorized official:** NINA BEAUCHESNE (SR. VICE PRESIDENT)
- **Authorized official phone:** (954) 265-6996

## Contact information

- **Practice address:** 4651 SHERIDAN STREET, SUITE 150, HOLLYWOOD, FL 33024
- **Practice address phone:** (954) 265-6331
- **Practice address fax:** (954) 965-6480
- **Mailing address:** 2900 CORPORATE WAY, MPG DOOR D, MIRAMAR, FL 33025-3925
- **Mailing address phone:** (954) 276-5581
- **Mailing address fax:** (954) 985-7074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | NULL | Yes |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2013
- **Last updated:** 08/25/2014