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SOUTH BROWARD HOSPITAL DISTRICT
NPI 1306177589
Surgery - Pediatric Surgery in Hollywood, FL

Active since January 27, 2010
1150 N 35TH AVE, SUITE 555, HOLLYWOOD, FL 33021(954) 265-0072(954) 981-0188 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 21, 2025, Sep 5, 2024, Aug 30, 2023 and 3 more (6 updates tracked since 2019).

About South Broward Hospital District NPPES

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

SOUTH BROWARD HOSPITAL DISTRICT (NPI 1306177589), doing business as Memorial Division Of Pediatric General Surgery, is a healthcare organization registered as a pediatric surgery in Hollywood, Florida and active in the NPI registry since January 2010. The organization maintains 5 additional practice locations and lists Esther Surujon, Cfo Mpg, Mpc And Ucc, as its authorized official.

NPPES Registry Identity

NPI1306177589
Entity TypeOrganization
Primary Taxonomy2086S0120X
Legal Business NameSOUTH BROWARD HOSPITAL DISTRICT
Location Address1150 N 35TH AVE, SUITE 555Hollywood, FL 33021-5424
Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5685 · Fax (954) 985-7074
Phone(954) 265-0072
Fax(954) 981-0188
Organization SubpartYes
Authorized OfficialEsther SurujonCfo Mpg, Mpc And Ucc · (954) 265-6677
Enumeration DateJanuary 27, 2010
Last NPPES UpdateMay 21, 20256 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1306177589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in FL · 48741
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
1150 N 35TH AVE, Hollywood, FL 33021
Open in Google Maps ↗

Other Names 1

Doing Business AsMemorial Division Of Pediatric General Surgery

Secondary Practice Locations 5

Location 120803 Biscayne Blvd Ste 204-AAventura, FL 33180-1469 · Phone (954) 265-0072 · Fax (954) 981-0188
Location 25830 Coral Ridge Dr Ste 140Coral Springs, FL 33076-3388 · Phone (954) 265-0072 · Fax (954) 981-0188
Location 33377 N State Rd 7 Suite 100Wellington, FL 33449-8082 · Phone (954) 265-0072 · Fax (954) 981-0188
Location 41865 N Corporate Lakes Blvd Ste 1Weston, FL 33326-3273 · Phone (954) 265-0072 · Fax (954) 981-0188
Location 51971 SW 172nd Ave Ste 2500Miramar, FL 33029-5621 · Phone (954) 265-0072 · Fax (954) 981-0188

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, Ambetter Health, Ambetter of Alabama and more.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)

South Broward Hospital District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to South Broward Hospital District, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

General Surgery9
Nurse Practitioner3

Clinicians, nearest first (12)

Lisa Parlante, APRN
Nurse Practitioner
NPI 1669909362
1005 JOE DIMAGGIO DRIVE
Hollywood, FL 33021
(954) 588-1842
✔ PECOS1.2 mi
Yasmine Yousef, MD
General Surgery
NPI 1831930288
1005 JOE DIMAGGIO DR
Hollywood, FL 33021
(954) 265-5324
✔ PECOS1.2 mi
Noor Kassira, MD
General Surgery
NPI 1366692337
1150 N 35TH AVE STE 555
Hollywood, FL 33021
(954) 265-0072
✔ PECOS1.3 mi
Oliver Lao, MD
General Surgery
NPI 1821191289
1150 N 35TH AVE STE 555
Hollywood, FL 33021
(954) 265-0072
✔ PECOS1.3 mi
Tamar Mirensky, MD
General Surgery
NPI 1407030752
1150 N 35TH AVE SUITE 555
Hollywood, FL 33021
(954) 265-0072
✔ PECOS1.3 mi
Holly Neville, MD
General Surgery
NPI 1245339969
1150 N 35TH AVE STE 555
Hollywood, FL 33021
(954) 265-0072
✔ PECOS1.3 mi
Jamie Tichauer, APRN
Nurse Practitioner
NPI 1316457633
1150 N 35TH AVE STE 555
Hollywood, FL 33021
(954) 265-0072
✔ PECOS1.3 mi
Jill Whitehouse, MD
General Surgery
NPI 1467541557
1150 N 35TH AVE SUITE 555
Hollywood, FL 33021
(954) 265-0072
✔ PECOS1.3 mi
Yangyang Yu, M.D.
General Surgery
NPI 1952748972
1150 N 35TH AVE STE 555
Hollywood, FL 33021
(954) 265-0072
✔ PECOS1.3 mi
Moiz Mustafa, M.D.
General Surgery
NPI 1952421208
1150 N 35TH AVE STE 555
Hollywood, FL 33021
(954) 265-0072
✔ PECOS1.3 mi
Joya Smith, APRN-C
Nurse Practitioner
NPI 1801388830
3001 W DR MARTIN LUTHER KING JR BLVD FL 1
Tampa, FL 33607
(813) 870-4619
✔ PECOS197 mi
Carrie Laituri, MD
General Surgery
NPI 1942451687
5225 23RD AVE S
Fargo, ND 58104
(701) 417-2575
✔ PECOS✔ Accepts Medicare1,704 mi

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 1306177589. It was assigned to this organization in the NPPES registry on January 27, 2010. The provider is doing business as Memorial Division of Pediatric General Surgery.

Where is South Broward Hospital District located?

South Broward Hospital District is located at 1150 N 35th Ave Suite 555, Hollywood, FL 33021. The listed phone number is (954) 265-0072.

What is South Broward Hospital District's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

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), 12 clinicians in 2 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 General Surgery (9) and Nurse Practitioner (3). Of these, 10 practice 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 22 Health, Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 3 other insurers 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 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.