Organization
SOUTH BROWARD HOSPITAL DISTRICT
Active
Other names
Memorial Division of Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
NINA BEAUCHESNE (SENIOR VICE PRESIDENT)
(954) 265-6996
Entity
Organization
Contact information
Practice address
1150 N 35TH AVE, HOLLYWOOD, FL 33021-5424
(954) 276-5685
(954) 985-7074
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
FL
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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