Organization
SOUTH BROWARD HOSPITAL DISTRICT
Active
Parent organization
SOUTH BROWARD HOSPITAL DISTRICT
Other names
Memorial Division of Orthopeadic Surgery and Sports 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
1150 N 35TH AVE STE 130, HOLLYWOOD, FL 33021
(954) 265-7700
(954) 893-3799
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
07/14/2018
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