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Organization

SOUTH BROWARD HOSPITAL DISTRICT

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

Provider details

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

Contact information

Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 985-5969
(954) 965-3599
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074

Taxonomy

Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
038184510
FL
Enumeration date
08/03/2006
Last updated
08/23/2022
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