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MEMORIAL PRIMARY CARE 40 AVENTURA
NPI 1053061754
Family Medicine in Aventura, FL

Active since March 25, 2022CLIA 10D2257409 · Waiver
20801 BISCAYNE BLVD STE 201, AVENTURA, FL 33180(305) 682-2740(954) 276-1043 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Memorial Primary Care 40 Aventura NPPES

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

MEMORIAL PRIMARY CARE 40 AVENTURA (NPI 1053061754) is a healthcare organization registered as a family medicine in Aventura, Florida and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Esther Surujon, Cfo Mpg, Mpc And Ucc, as its authorized official.

NPPES Registry Identity

NPI1053061754
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTH BROWARD HOSPITAL DISTRICT
Location Address20801 BISCAYNE BLVD STE 201Aventura, FL 33180-1422
Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5685 · Fax (954) 985-7074
Phone(305) 682-2740
Fax(954) 276-1043
Organization SubpartYes
Authorized OfficialEsther SurujonCfo Mpg, Mpc And Ucc · (954) 265-6677
Enumeration DateMarch 25, 2022
Last NPPES UpdateApril 4, 2023
NPPES CertifiedApril 4, 2023
✔ NPI 1053061754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
20801 BISCAYNE BLVD STE 201, Aventura, FL 33180
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Other Names 1

Doing Business AsMemorial Primary Care 40 Aventura

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 10D2257409

Memorial Primary Care Aventura · Aventura, FL
Active · expires Apr 4, 2028
CLIA Number10D2257409
Laboratory TypePhysician Office
Certificate Effective DateApril 5, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJennifer Goldman
Laboratory Phone(305) 682-2744
Laboratory LocationMemorial Primary Care Aventura20801 Biscayne Boulevard Suite 201, Aventura, FL 33180
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

KIMBERLY NICOLE AMIGO APRN
Nurse Practitioner (Adult Health)
20801 BISCAYNE BLVD STE 201
AVENTURA, FL 33180
Miami-Dade County (305) 682-2670
DR. MARCELA FUNDAMINSKY MD
Family Medicine
20801 BISCAYNE BLVD STE 201
AVENTURA, FL 33180
Miami-Dade County (305) 682-2740

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 1053061754. It was assigned to this organization in the NPPES registry on March 25, 2022. The provider is doing business as Memorial Primary Care 40 Aventura.

Where is South Broward Hospital District located?

South Broward Hospital District is located at 20801 Biscayne Blvd Ste 201, Aventura, FL 33180. The listed phone number is (305) 682-2740.

What is South Broward Hospital District's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does South Broward Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2257409) is associated with this NPI, valid through April 4, 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 and AmeriHealth Caritas Next 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 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.