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South Broward Hospital District

Internal Medicine, Critical Care Medicine in Hollywood, FL. Organization (NPI-2).

NPI number1609884154
StatusActive
Last updated in NPPESMar 13, 2018

Details

NPI
1609884154
Entity type
Organization (NPI-2)
Legal business name
South Broward Hospital District
Organization subpart
Yes
Enumeration date
Aug 3, 2006
Last updated
Mar 13, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0200X Internal Medicine, Critical Care Medicine––Yes

Other names

  • Memorial Division Of Critical Care (Doing Business As)

Practice location

3501 Johnson St
Hollywood, FL 33021-5421

Phone 954-265-9976 · Fax 954-965-5396

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925

Phone 954-276-5685 · Fax 954-985-7074

Authorized official

Nina Beauchesne
Executive Vice President
9542653451

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