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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 204F00000X | Transplant Surgery | – | – | Yes |
Other names
- Memorial Division Of Kidney Transplant (Doing Business As)
Practice location
1150 N 35th Ave Ste 390Hollywood, FL 33021-5429
Phone 954-265-7450 · Fax 954-265-7459
Mailing address
2900 Corporate WayDoor 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
Hollywood, FL 33021-8353
Phone 954-265-7450 · Fax 954-265-7459
Authorized official
Esther Surujon
Cfo Mpg, Mpc And Ucc
9542769220
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.