South Broward Hospital District
Internal Medicine, Gastroenterology in Hollywood, FL. Organization (NPI-2).
NPI number1669917837
StatusActive
Last updated in NPPESDec 27, 2016
Details
- NPI
- 1669917837
- Entity type
- Organization (NPI-2)
- Legal business name
- South Broward Hospital District
- Organization subpart
- No
- Enumeration date
- Dec 27, 2016
- Last updated
- Dec 27, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | – | FL | Yes |
Other names
- Memorial Division Of Gastroenterology (Doing Business As)
Practice location
1150 N 35th AveHollywood, FL 33021-5424
Phone 954-276-5685 · Fax 954-985-7074
Mailing address
2900 Corporate WayDoor D
Miramar, FL 33025-3925
Phone 954-276-5685 · Fax 954-985-7074
Authorized official
Nina Beauchesne
Senior Vice President
9542656996
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