MEMORIAL DIVISION OF PEDIATRIC INTERVENTIONAL CARDIOLOGY - NPI 1164911764

Q: What is South Broward Hospital District's NPI number?

The NPI number for South Broward Hospital District is 1164911764. It was assigned to this organization in the NPPES registry on May 9, 2018. The provider is doing business as Memorial Division Of Pediatric Interventional Cardiology.

Q: What is South Broward Hospital District's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

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About Memorial Division Of Pediatric Interventional Cardiology NPPES

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

MEMORIAL DIVISION OF PEDIATRIC INTERVENTIONAL CARDIOLOGY (NPI 1164911764) is a healthcare organization registered as an interventional cardiology in Hollywood, Florida and active in the NPI registry since May 2018. The organization maintains 3 additional practice locations and lists Esther Surujon, Cfo Mpg, Mpc And Ucc, as its authorized official.

NPPES Registry Identity

NPI1164911764

Entity TypeOrganization

Primary Taxonomy207RI0011X

Legal Business NameSOUTH BROWARD HOSPITAL DISTRICT

Location Address1150 N 35TH AVE STE 490Hollywood, FL 33021-5423

Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5685 · Fax (954) 985-7074

Phone(954) 265-3437

Fax(954) 983-5052

Organization SubpartYes

Authorized OfficialEsther SurujonCfo Mpg, Mpc And Ucc · (954) 265-6677

Enumeration DateMay 9, 2018

Last NPPES UpdateAugust 31, 20234 updates tracked since enumeration

NPPES CertifiedAugust 31, 2023

✔ NPI 1164911764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

1150 N 35TH AVE STE 490, Hollywood, FL 33021

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Other Names 1

Doing Business AsMemorial Division Of Pediatric Interventional Cardiology

Secondary Practice Locations 3

Location 11971 SW 172nd Ave Ste 500Miramar, FL 33029-5592 · Phone (954) 265-3437 · Fax (954) 265-3731

Location 23501 Johnson St Fl 1Hollywood, FL 33021-5421 · Phone (954) 265-3437 · Fax (954) 265-3731

Location 33377 S State Road 7 Ste 100Wellington, FL 33449-8002 · Phone (954) 265-3437 · Fax (954) 265-3731

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.

TARAH JOY POPP M.D.

Pediatrics (Pediatric Cardiology)