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Organization

SOUTH BROWARD HOSPITAL DISTRICT

Active
Parent organization
SOUTH BROWARD HOSPITAL DISTRICT
Other names
Memorial Division of Rehabilitative Psychology
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTH BROWARD HOSPITAL DISTRICT
Authorized official
ESTHER SURUJON (CFO MEMORIAL PHYSICIAN GROUP & MPC)
(954) 265-6677
Entity
Organization

Contact information

Practice address
3600 WASHINGTON ST STE 311, HOLLYWOOD, FL 33021-8216
(954) 518-5507
(954) 518-5510
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 265-5685
(954) 985-7074

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary

Other

Enumeration date
03/07/2014
Last updated
06/20/2023
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