MEMORIAL DIVISION OF PROFESSIONAL SERVICES
NPI 1285641209
Physician Assistant - Surgical in Hollywood, FL

Active since August 02, 2006
3501 JOHNSON STREET, HOLLYWOOD, FL 33021(954) 987-2000(954) 985-5691 Get Directions Write a Review

NPPES record last updated: February 16, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Memorial Division Of Professional Services NPPES

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

MEMORIAL DIVISION OF PROFESSIONAL SERVICES (NPI 1285641209) is a healthcare organization registered as a surgical in Hollywood, Florida and active in the NPI registry since August 2006. The organization lists Mario Salceda-cruz, Administrator, as its authorized official.

NPPES Registry Identity

NPI1285641209
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameSOUTH BROWARD HOSPITAL DISTRICT
Location Address3501 JOHNSON STREETHollywood, FL 33021
Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5685 · Fax (954) 985-7074
Fax(954) 985-5691
Organization SubpartNo
Authorized OfficialMario Salceda-cruzAdministrator · (954) 265-4684
Enumeration DateAugust 2, 2006
Last NPPES UpdateFebruary 16, 2017
✔ NPI 1285641209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
3501 JOHNSON STREET, Hollywood, FL 33021

Other Names 1

Doing Business AsMemorial Division Of Professional Services

Other Identifiers 1

Medicare ID-Type Unspecified98189FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Memorial Division Of Professional Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

461

Medicare enrollment records show 461 clinicians reassign Medicare billing to Memorial Division Of Professional Services, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 332 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 33

Nurse Practitioner138
Critical Care (Intensivists)48
Internal Medicine40
Hematology/Oncology36
Family Practice35
Mental Health Counselor21
Obstetrics/Gynecology20
Clinical Social Worker16
25 other specialties107

Nearest to this location (20)

See all 461
Internal Medicine
NPI 1750561072
3700 JOHNSON ST
Hollywood, FL 33021
(954) 265-2550
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1043522253
3700 JOHNSON ST
Hollywood, FL 33021
(954) 276-5552
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1194972133
3700 JOHNSON ST
Hollywood, FL 33021
(954) 265-2550
✔ PECOSSame address
Family Practice
NPI 1992190664
3700 JOHNSON ST
Hollywood, FL 33021
(954) 276-5552
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1831145440
3700 JOHNSON ST
Hollywood, FL 33021
(954) 276-5552
✔ PECOSSame address
Nurse Practitioner
NPI 1750531075
1005 JOE DIMAGGIO DR
Hollywood, FL 33021
(954) 265-0506
✔ PECOS0.1 mi
Pediatric Medicine
NPI 1336349075
1005 JOE DIMAGGIO DR
Hollywood, FL 33021
(954) 265-0506
✔ PECOS0.1 mi
Internal Medicine
NPI 1154332120
1150 N 35TH AVE SUITE 135
Hollywood, FL 33021
(954) 265-3982
✔ PECOS✔ Accepts Medicare0.2 mi
Neurosurgery
NPI 1700045234
1150 N 35TH AVE STE 300
Hollywood, FL 33021
(954) 265-1490
✔ PECOS✔ Accepts Medicare0.2 mi
Endocrinology
NPI 1922292010
1150 N 35TH AVE STE 205A
Hollywood, FL 33021
(954) 265-7550
✔ PECOS✔ Accepts Medicare0.2 mi
Orthopedic Surgery
NPI 1891085668
1150 N 35TH AVE STE 130
Hollywood, FL 33021
(954) 265-7700
✔ PECOS0.2 mi
Hematology/Oncology
NPI 1871667048
1150 N 35TH AVE STE 100
Hollywood, FL 33021
(954) 265-2234
✔ PECOS✔ Accepts Medicare0.2 mi
General Surgery
NPI 1063508042
1150 N 35TH AVE SUITE 200
Hollywood, FL 33021
(954) 265-0000
✔ PECOS✔ Accepts Medicare0.2 mi
Surgical Oncology
NPI 1730151853
1150 N 35TH AVE SUITE 205A
Hollywood, FL 33021
(954) 265-5846
✔ PECOS✔ Accepts Medicare0.2 mi
Hospice/Palliative Care
NPI 1780170746
1150 N 35TH AVE STE 100
Hollywood, FL 33021
(954) 265-2234
✔ PECOS✔ Accepts Medicare0.2 mi
Diagnostic Radiology
NPI 1336144641
1150 N 35TH AVE STE 300
Hollywood, FL 33021
(954) 985-1490
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1013012566
1150 N 35TH AVE SUITE 135
Hollywood, FL 33021
(954) 265-6989
✔ PECOS0.2 mi
Obstetrics/Gynecology
NPI 1356330088
1150 N 35TH AVE STE 245
Hollywood, FL 33021
(954) 265-2740
✔ PECOS✔ Accepts Medicare0.2 mi
Critical Care (Intensivists)
NPI 1952630899
1150 N 35TH AVE STE 600
Hollywood, FL 33021
(954) 265-5969
✔ PECOS✔ Accepts Medicare0.2 mi
Clinical Psychologist
NPI 1932197548
1150 N 35TH AVE SUITE 170
Hollywood, FL 33021
(954) 265-6363
✔ PECOS✔ Accepts Medicare0.2 mi
See all 461 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1285641209. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider is doing business as Memorial Division Of Professional Services.

Where is South Broward Hospital District located?

South Broward Hospital District is located at 3501 Johnson Street, Hollywood, FL 33021. The listed phone number is (954) 987-2000.

What is South Broward Hospital District's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is South Broward Hospital District enrolled in Medicare?

Yes. South Broward Hospital District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Broward Hospital District?

According to the CMS Revalidation Reassignment List (October 2026 release), 461 clinicians in 33 Medicare specialties reassign their Medicare billing to South Broward Hospital District. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (138), Critical Care (Intensivists) (48) and Internal Medicine (40). Of these, 5 practice at this address and 332 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does South Broward Hospital District accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc. and Cigna 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 February 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.