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SOUTH BROWARD HOSPITAL DISTRICT
NPI 1003409301
Obstetrics & Gynecology in Hollywood, FL

Active since February 17, 2021CLIA 10D2253809 · Waiver
1150 N 35TH AVE STE 560, HOLLYWOOD, FL 33021(954) 265-2740(954) 276-0645 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 24, 2026, Feb 18, 2021 (2 updates tracked since 2021).

About South Broward Hospital District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH BROWARD HOSPITAL DISTRICT (NPI 1003409301), doing business as Memorial Division Of High Risk Obstetrics, is a healthcare organization registered as an obstetrics & gynecology in Hollywood, Florida and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through February 23, 2028, maintains a secondary practice location in Hollywood, and lists Esther Surujon, Cfo Memorial Physician Group Mpc, as its authorized official.

NPPES Registry Identity

NPI1003409301
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSOUTH BROWARD HOSPITAL DISTRICT
Location Address1150 N 35TH AVE STE 560Hollywood, FL 33021-5431
Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5685 · Fax (954) 985-7074
Phone(954) 265-2740
Fax(954) 276-0645
Organization SubpartYes
Authorized OfficialEsther SurujonCfo Memorial Physician Group Mpc · (954) 265-6677
Enumeration DateFebruary 17, 2021
Last NPPES UpdateApril 24, 20262 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1003409301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1150 N 35TH AVE STE 560, Hollywood, FL 33021
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Other Names 1

Doing Business AsMemorial Division Of High Risk Obstetrics

Secondary Practice Location 1

Location 13501 Johnson St Fl 2Hollywood, FL 33021-5421 · Phone (954) 265-3441 · Fax (954) 368-0195

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2253809

South Broward Hospital District · Hollywood, FL
Active · expires Feb 23, 2028
CLIA Number10D2253809
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorTimothy Q. De Santis
Laboratory Phone(954) 265-2740
Laboratory LocationSouth Broward Hospital District1150 N 35th Ave Ste 560, Hollywood, FL 33021
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID M RUBE MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1150 N 35TH AVE STE 560
HOLLYWOOD, FL 33021
Broward County (954) 265-1370
BEATRIZ POLA RABASSA RD
Dietitian, Registered
1150 N 35TH AVE STE 560
HOLLYWOOD, FL 33021
Broward County (954) 265-1370
BRIAN GUY LEDUC M.D.
Psychiatry & Neurology (Psychiatry)
1150 N 35TH AVE STE 560
HOLLYWOOD, FL 33021
Broward County (954) 265-1370
SOUTH BROWARD HOSPITAL DISTRICT
Pediatrics (Adolescent Medicine)
1150 N 35TH AVE STE 560
HOLLYWOOD, FL 33021
Broward County (954) 265-1460
DR. CELINE ALYSSA HAMILTON MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1150 N 35TH AVE STE 560
HOLLYWOOD, FL 33021
Broward County (954) 265-1370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Broward Hospital District's NPI number?

The NPI number for South Broward Hospital District is 1003409301. It was assigned to this organization in the NPPES registry on February 17, 2021. The provider is doing business as Memorial Division of High Risk Obstetrics.

Where is South Broward Hospital District located?

South Broward Hospital District is located at 1150 N 35th Ave Ste 560, Hollywood, FL 33021. The listed phone number is (954) 265-2740.

What is South Broward Hospital District's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does South Broward Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2253809) is associated with this NPI, valid through February 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Broward Hospital District accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Molina Healthcare list South Broward Hospital District as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Broward Hospital District was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.