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SOUTH BROWARD HOSPITAL DISTRICT
NPI 1063013787
Pediatrics in Hollywood, FL

Active since November 09, 2020
1005 JOE DIMAGGIO DR, PEDIATRICS FLOOR 4, HOLLYWOOD, FL 33021(954) 265-6331(954) 893-6244 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Broward Hospital District NPPES

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

SOUTH BROWARD HOSPITAL DISTRICT (NPI 1063013787), doing business as Memorial Division Of Pediatric Complex Care, is a healthcare organization registered as a pediatrics in Hollywood, Florida and active in the NPI registry since November 2020. The organization maintains a secondary practice location in Miramar and lists Esther Surujon, Chief Financial Officer Mpg And Mpc, as its authorized official.

NPPES Registry Identity

NPI1063013787
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSOUTH BROWARD HOSPITAL DISTRICT
Location Address1005 JOE DIMAGGIO DR, PEDIATRICS FLOOR 4Hollywood, FL 33021-5402
Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5685 · Fax (954) 985-7074
Phone(954) 265-6331
Fax(954) 893-6244
Organization SubpartYes
Authorized OfficialEsther SurujonChief Financial Officer Mpg And Mpc · (954) 265-6677
Enumeration DateNovember 9, 2020
Last NPPES UpdateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
✔ NPI 1063013787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1005 JOE DIMAGGIO DR, Hollywood, FL 33021
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Other Names 1

Doing Business AsMemorial Division Of Pediatric Complex Care

Secondary Practice Location 1

Location 11971 SW 172nd Ave Ste 2500Miramar, FL 33029-5621 · Phone (954) 265-4494 · Fax (954) 276-0702

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 ›

Other Providers at the Same Location NPPES 20

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

MS. EMILY ANN MILORO PA-C
Physician Assistant
1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
Broward County (954) 265-5324
DR. JARED ROSS GREEN M.D.
Radiology (Diagnostic Radiology)
1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
Broward County (954) 265-5892
DR. ILANA VENDRYES M.D.
Anesthesiology
1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
Broward County (954) 265-5324
MARJORIE SUZANNE PROPHETE LCSW
Social Worker (Clinical)
1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
Broward County (954) 265-6966
CHRISTINE VEDA GOORDEEN
Nurse Anesthetist, Certified Registered
1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
Broward County (954) 265-5324
BRIAN ANDRADE RRT
Respiratory Therapist, Registered (Neonatal/Pediatrics)
1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
Broward County (954) 265-5324
DIANA LYNN GELFAND LCSW
Social Worker (Clinical)
1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
Broward County (954) 265-5324
RAICHETON CHEVETTE LE NNP-BC
Nurse Practitioner (Neonatal)
1005 JOE DIMAGGIO DR
HOLLYWOOD, FL 33021
Broward County (317) 626-1031

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 1063013787. It was assigned to this organization in the NPPES registry on November 9, 2020. The provider is doing business as Memorial Division of Pediatric Complex Care.

Where is South Broward Hospital District located?

South Broward Hospital District is located at 1005 Joe Dimaggio Dr Pediatrics Floor 4, Hollywood, FL 33021. The listed phone number is (954) 265-6331.

What is South Broward Hospital District's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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 October 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.