Organization
SOUTH BROWARD HOSPITAL DISTRICT
Active
Parent organization
SOUTH BROWARD HOSPITAL DISTRICT
Other names
Memorial Division of Palliative Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH BROWARD HOSPITAL DISTRICT
Authorized official
NINA BEAUCHESNE (EXECUTIVE VICE PRESIDENT)
(954) 265-3451
Entity
Organization
Contact information
Practice address
603 N FLAMINGO RD STE 151, PEMBROKE PINES, FL 33028-1021
(954) 265-4325
(954) 276-0744
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038184549
—
FL
Enumeration date
04/24/2013
Last updated
07/23/2018
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