South Broward Hospital District
Pediatric Adolescent Medicine
South Broward Hospital District is a Hollywood, Florida based Pediatric center with medical specialization in
Pediatric Adolescent Medicine. South Broward Hospital District is doing business as
Memorial Division Of Adolescent Medicine.
It is located at
1150 N 35th Ave Ste 560, Hollywood, Florida - 33021. They can be contacted on phone at
954-265-1460 and fax number 954-265-1375.
NPI number (Unique professional ID) for South Broward Hospital District is
1407208952 which was assigned by NPPES on 08 Jul, 2016 and it was last updated on 05 Jul, 2018.
South Broward Hospital District specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
South Broward Hospital District basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | South Broward Hospital District |
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| Other Name : | Memorial Division Of Adolescent Medicine |
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Business Address:
South Broward Hospital District address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1150 N 35th Ave Ste 560
Hollywood, FL, 33021
United States |
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| Phone Number : | 954-265-1460 |
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| Fax Number : | 954-265-1375 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1407208952 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 08 Jul, 2016 |
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| Last Updated On : | 05 Jul, 2018 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Nina Beauchesne |
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| Official Title or Position : | EXECUTIVE VICE PRESIDENT |
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| Phone Number : | 954-265-3451 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South Broward Hospital District are as mentioned. Primary taxonomy code for South Broward Hospital District is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of South Broward Hospital District such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 038184507 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2900 Corporate Way, Door D
Miramar, FL, 33025-3925
United States |
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| Phone Number : | 954-276-5685 |
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| Fax Number : | 954-985-7074 |
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Business Location:
Patients can refer following map for directions to
South Broward Hospital District practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.