Organization
SOUTH BROWARD HOSPITAL DISTRICT
Active
Parent organization
SOUTH BROWARD HOSPITAL DISTRICT
Other names
Memorial Primary Care Sports Medicine
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
1150 N 35TH AVE STE 130, HOLLYWOOD, FL 33021-5424
(954) 276-7700
(954) 276-0021
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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