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Organization

SOUTH BROWARD HOSPITAL DISTRICT

Active
Parent organization
SOUTH BROWARD HOSPITAL DISTRICT
Other names
Memorial Division of Wound Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTH BROWARD HOSPITAL DISTRICT
Authorized official
NINA BEAUCHESNE (EXECUTIVE VICE PRESIDENT)
(954) 265-6996
Entity
Organization

Contact information

Practice address
7800 SHERIDAN ST FL 1, PEMBROKE PINES, FL 33024-2536
(954) 883-8014
(954) 986-8306
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
038184579
FL
Enumeration date
06/23/2016
Last updated
05/27/2026
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