Organization
SOUTH BROWARD HOSPITAL DISTRICT
Active
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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