Organization
SOUTH BROWARD HOSPITAL DISTRICT
Active
Other names
Memorial Division of Pediatric Rehabilitative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
NINA BEAUCHESNE (SR. VICE PRESIDENT)
(954) 265-6996
Entity
Organization
Contact information
Practice address
4651 SHERIDAN STREET, SUITE 150, HOLLYWOOD, FL 33024
(954) 265-6331
(954) 965-6480
Mailing address
2900 CORPORATE WAY, MPG DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5581
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
—
—
Other
Enumeration date
04/09/2013
Last updated
08/25/2014
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