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Organization

SOUTH BROWARD HOSPITAL DISTRICT

Active
Other names
Memorial Division of Urology
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NINA BEAUCHESNE (SR VICE PRESIDENT)
(954) 265-6996
Entity
Organization

Contact information

Practice address
20801 BISCAYNE BLVD, SUITE 203, AVENTURA, FL 33180-1430
(954) 276-5615
(954) 985-7074
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
208800000X
Urology Physician
Primary

Other

Enumeration date
03/26/2014
Last updated
04/22/2014
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