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SOUTH BROWARD HOSPITAL DISTRICT
NPI 1063704559
Otolaryngology - Pediatric Otolaryngology in Hollywood, FL

Active since May 03, 2011CLIA 10D2167898 · Waiver
1131 N 35TH AVE STE 300, HOLLYWOOD, FL 33021(954) 265-3030(954) 893-6301 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 13, 2025, Sep 5, 2024, Aug 31, 2023 and 2 more (5 updates tracked since 2018).

About South Broward Hospital District NPPES

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

SOUTH BROWARD HOSPITAL DISTRICT (NPI 1063704559), doing business as Memorial Division Of Pediatric Otolaryngology, is a healthcare organization registered as a pediatric otolaryngology in Hollywood, Florida and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through June 17, 2027, maintains 4 additional practice locations, and lists Esther Surujon, Cfo Mpg, Mpc And Ucc, as its authorized official.

NPPES Registry Identity

NPI1063704559
Entity TypeOrganization
Primary Taxonomy207YP0228X
Legal Business NameSOUTH BROWARD HOSPITAL DISTRICT
Location Address1131 N 35TH AVE STE 300Hollywood, FL 33021-5403
Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5685 · Fax (954) 985-7074
Phone(954) 265-3030
Fax(954) 893-6301
Organization SubpartYes
Authorized OfficialEsther SurujonCfo Mpg, Mpc And Ucc · (954) 265-6677
Enumeration DateMay 3, 2011
Last NPPES UpdateMay 13, 20255 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1063704559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
Definition

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.

1131 N 35TH AVE STE 300, Hollywood, FL 33021
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Other Names 1

Doing Business AsMemorial Division Of Pediatric Otolaryngology

Secondary Practice Locations 4

Location 13377 S State Road 7 Ste 100Wellington, FL 33449-8002 · Phone (561) 341-7000 · Fax (561) 784-7098
Location 21971 SW 172nd Ave Ste 2300Miramar, FL 33029-5625 · Phone (954) 265-1616 · Fax (954) 265-1617
Location 35830 Coral Ridge Dr Ste 140Coral Springs, FL 33076-3388 · Phone (954) 265-1616 · Fax (954) 893-6301
Location 44651 Sheridan St Ste 150Hollywood, FL 33021-3443 · Phone (954) 276-1550 · Fax (954) 893-6243

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 10D2167898

South Broward Hospital District · Wellington, FL
Active · expires Jun 17, 2027
CLIA Number10D2167898
Laboratory TypePhysician Office
Certificate Effective DateJune 18, 2025
Certificate Expiration DateJune 17, 2027
Laboratory DirectorMauricio Flores
Laboratory Phone(561) 341-7026
Laboratory LocationSouth Broward Hospital District3377 State Road 7 Suite 100, Wellington, FL 33449
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

SCOTT BRIETZKE MD
Otolaryngology (Pediatric Otolaryngology)
1131 N 35TH AVE STE 300
HOLLYWOOD, FL 33021
Broward County (954) 265-1616
KALEEN RODRIGUEZ
Audiologist
1131 N 35TH AVE STE 300
HOLLYWOOD, FL 33021
Broward County (954) 265-1616
SAMUEL T OSTROWER MD
Otolaryngology
1131 N 35TH AVE STE 300
HOLLYWOOD, FL 33021
Broward County (954) 265-1616
DR. SWEETI SHAH DO
Otolaryngology (Pediatric Otolaryngology)
1131 N 35TH AVE STE 300
HOLLYWOOD, FL 33021
Broward County (954) 265-1616
SAMANTHA BRITNI ALLEN MD
Otolaryngology (Pediatric Otolaryngology)
1131 N 35TH AVE STE 300
HOLLYWOOD, FL 33021
Broward County (954) 265-1616
DR. ALLYSON BUSH MD
Pediatrics (Pediatric Gastroenterology)
1131 N 35TH AVE STE 300
HOLLYWOOD, FL 33021
Broward County (954) 265-4475
WENDY RACHEL BAYLESS
Physician Assistant
1131 N 35TH AVE STE 300
HOLLYWOOD, FL 33021
Broward County (561) 330-9363
ALEXANDER VILLANUEVA PA
Physician Assistant
1131 N 35TH AVE STE 300
HOLLYWOOD, FL 33021
Broward County (954) 265-1616

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 1063704559. It was assigned to this organization in the NPPES registry on May 3, 2011. The provider is doing business as Memorial Division of Pediatric Otolaryngology.

Where is South Broward Hospital District located?

South Broward Hospital District is located at 1131 N 35th Ave Ste 300, Hollywood, FL 33021. The listed phone number is (954) 265-3030.

What is South Broward Hospital District's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Does South Broward Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2167898) is associated with this NPI, valid through June 17, 2027. 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 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 May 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.