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

Q: 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.

Q: 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.

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: August 09, 2026.

On this page

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

Phone(954) 987-2000

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed.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.

JEANETTE ALVAREZ MD

Hospitalist

3501 JOHNSON STREET
HOLLYWOOD, FL 33021

Broward County (954) 985-6959

MRS. ELIZABETH RENA MARSHALL MSW

Social Worker (Clinical)

3501 JOHNSON STREET, RADIATION ONCOLOGY - ONCOLOGY SOCIAL WORKER
HOLLYWOOD, FL 33021

Broward County (954) 265-6471

DR. DAVID NEVIL ROBERT HOOKE D.O.

Pediatrics (Pediatric Emergency Medicine)

3501 JOHNSON STREET, PEDIATRIC EMERGENCY DEPARTMENT
HOLLYWOOD, FL 33021

Broward County (954) 265-3482

DR. ADRIANNE ELIZABETH GIBBS-PHAGAN M.D.

Internal Medicine

3501 JOHNSON STREET, MEMORIAL REGIONAL HOSPITAL HOSPITALISTS GROUP
HOLLYWOOD, FL 33021

Broward County (954) 265-3982

MISS DOREEN GRANT

Nurse Practitioner (Adult Health)

3501 JOHNSON STREET
HOLLYWOOD, FL 33021

Broward County (954) 265-2000

STUART NEWMARK PA

Internal Medicine

3501 JOHNSON STREET, MEMORIAL REGIONAL HOSPITAL
HOLLYWOOD, FL 33021

Broward County (954) 987-2000

SHERI JEAN ANTOINETTE CRNA

Nurse Anesthetist, Certified Registered

3501 JOHNSON STREET
HOLLYWOOD, FL 33021

Broward County (954) 987-2000

SARA PATRICIA BRUSCO AA

Anesthesiologist Assistant

3501 JOHNSON STREET
HOLLYWOOD, FL 33021

Broward County (239) 332-5344

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.

What insurance does South Broward Hospital District accept?

Health plans from AmeriHealth Caritas Next and AvMed 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.