Organization
SOUTH BROWARD HOSPITAL DISTRICT
Active
Parent organization
SOUTH BROWARD HOSPITAL DISTRICT
Other names
Memorial Division of Adult Psychology Services
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
1150 N 35TH AVE STE 525, HOLLYWOOD, FL 33021-5431
(954) 265-1260
(954) 265-1275
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
06/27/2019
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