Organization · NPI-2

South Broward Hospital District

Transplant Surgery · Hollywood, FL

NPI number1093262248
StatusActive
Last updated in NPPESNov 6, 2025

Details

NPI
1093262248
Entity type
Organization (NPI-2)
Legal business name
South Broward Hospital District
Organization subpart
Yes
Enumeration date
Sep 6, 2016
Certification date
Nov 6, 2025
Last updated
Nov 6, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
204F00000X Transplant Surgery––Yes

Other names

  • Memorial Division Of Kidney Transplant (Doing Business As)

Practice location

1150 N 35th Ave Ste 390
Hollywood, FL 33021-5429

Phone 954-265-7450 · Fax 954-265-7459

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925

Phone 954-276-5685 · Fax 954-985-7074

Other practice locations

300 S Park Rd Ste 400
Hollywood, FL 33021-8353

Phone 954-265-7450 · Fax 954-265-7459

Authorized official

Esther Surujon
Cfo Mpg, Mpc And Ucc
9542769220

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