Organization
SOUTH BROWARD HOSPITAL DISTRICT
Active
Organization
SOUTH BROWARD HOSPITAL DISTRICT
Active
Other names
MEMORIAL DIVISION OF PEDIATRIC DERMATOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
NINA BEAUCHESNE (SR VICE PRESIDENT MHS)
(954) 265-6996
Entity
Organization
Contact information
Practice address
1150 N 35TH AVE, SUITE 495, HOLLYWOOD, FL 33021-5424
(954) 265-7546
Mailing address
2900 CORPORATE WAY, MPG DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5681
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
02/06/2015
Last updated
02/24/2015
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