SOUTH BROWARD HOSPITAL DISTRICT - NPI 1336504075 - Psychiatry & Neurology in Hollywood, FL

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

The NPI number for South Broward Hospital District is 1336504075. It was assigned to this organization in the NPPES registry on December 23, 2015. The provider is doing business as Memorial Division of Child/Adolescent Psychiatry.

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

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

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About South Broward Hospital District NPPES

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

SOUTH BROWARD HOSPITAL DISTRICT (NPI 1336504075), doing business as Memorial Division Of Child/adolescent Psychiatry, is a healthcare organization registered as a child & adolescent psychiatry in Hollywood, Florida and active in the NPI registry since December 2015. The organization maintains a secondary practice location in Boca Raton and lists Esther Surujon, Cfo Mpg, Mpc And Ucc, as its authorized official.

NPPES Registry Identity

NPI1336504075

Entity TypeOrganization

Primary Taxonomy2084P0804X

Legal Business NameSOUTH BROWARD HOSPITAL DISTRICT

Location Address3440 HOLLYWOOD BLVD STE 360Hollywood, FL 33021-6934

Mailing Address2900 Corporate Way, Mpg Door DMiramar, FL 33025-3925 · (954) 276-3254 · Fax (954) 276-0154

Phone(954) 276-9200

Fax(954) 275-0733

Organization SubpartYes

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

Enumeration DateDecember 23, 2015

Last NPPES UpdateJuly 14, 20253 updates tracked since enumeration

NPPES CertifiedJuly 14, 2025

✔ NPI 1336504075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

3440 HOLLYWOOD BLVD STE 360, Hollywood, FL 33021

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Other Names 1

Doing Business AsMemorial Division Of Child/adolescent Psychiatry

Secondary Practice Location 1

Location 15458 Town Center Rd Ste 102Boca Raton, FL 33486-1026 · Phone (954) 276-9200 · Fax (954) 276-0733

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.Insurance ›

Other Providers at the Same Location NPPES 5

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

BENJAMIN LUIS EGUSQUIZA M.D.

Psychiatry & Neurology (Psychiatry)