South Broward Hospital District
Pediatric Nephrology
South Broward Hospital District is a Hollywood, Florida based Pediatric center with medical specialization in
Pediatric Nephrology. South Broward Hospital District is doing business as
Memorial Division Of Pediatric Nephrology.
It is located at
1131 N 35th Ave Ste 210, Hollywood, Florida - 33021-5403. They can be contacted on phone at
954-265-9344 and fax number 954-265-3676.
NPI number (Unique professional ID) for South Broward Hospital District is
1467468496 which was assigned by NPPES on 31 Jul, 2006 and it was last updated on 24 Jan, 2022.
South Broward Hospital District deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Complete Profile:
South Broward Hospital District basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Nephrology |
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| Provider Name : | South Broward Hospital District |
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| Other Name : | Memorial Division Of Pediatric Nephrology |
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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 : | 1131 N 35th Ave Ste 210
Hollywood, FL, 33021-5403
United States |
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| Phone Number : | 954-265-9344 |
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| Fax Number : | 954-265-3676 |
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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 : | 1467468496 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 31 Jul, 2006 |
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| Last Updated On : | 24 Jan, 2022 |
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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 : | Esther Surujon |
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| Official Title or Position : | CFO MPG, MPC & UCC |
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| Phone Number : | 954-265-6677 |
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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
2080P0210X (Pediatrics Pediatric Nephrology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0210X | Pediatrics Pediatric Nephrology | 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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| 009173536 | MEDICAID | FL | |
| 108351316 | MEDICAID | FL | |
| 009173539 | MEDICAID | FL | |
| 038184529 | MEDICAID | FL | |
| 009173534 | MEDICAID | FL | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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900 GLADES RD STE 501,
BOCA RATON, FL, 33431-6421
United States | BOCA RATON, FL | 954-265-9344 |
1951 SW 172ND AVE STE 204,
MIRAMAR, FL, 33029-5613
United States | MIRAMAR, FL | 954-265-9344 |
3377 S STATE ROAD 7 STE 100,
WELLINGTON, FL, 33449-8002
United States | WELLINGTON, FL | 561-341-7000 |
1865 N CORPORATE LAKES BLVD STE 1,
WESTON, FL, 33326-3273
United States | WESTON, FL | 954-265-9344 |
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, 33021-3925
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.