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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