MEMORIAL MEDICAL GROUP OF SOUTH FLORIDA, LLC
NPI 1336806801
Physician Assistant in Hollywood, FL

Q: What is Memorial Medical Group Of South Florida, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since November 19, 2021

4000 HOLLYWOOD BLVD STE 555S, HOLLYWOOD, FL 33021(754) 273-0885(833) 955-3596 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Memorial Medical Group Of South Florida, Llc NPPES

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

MEMORIAL MEDICAL GROUP OF SOUTH FLORIDA, LLC (NPI 1336806801), doing business as Memorial Mental Health Of South Florida, is a healthcare organization registered as a physician assistant in Hollywood, Florida and active in the NPI registry since November 2021. The organization lists Lisa B Marshall, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1336806801

Entity TypeOrganization

Primary Taxonomy363A00000X

Legal Business NameMEMORIAL MEDICAL GROUP OF SOUTH FLORIDA, LLC

Location Address4000 HOLLYWOOD BLVD STE 555SHollywood, FL 33021-6853

Mailing Address16000 Pines Boulevard, #822503Pembroke Pines, FL 33082-2503 · (754) 273-0885 · Fax (754) 240-7841

Phone(754) 273-0885

Fax(833) 955-3596

Organization SubpartNo

Authorized OfficialLisa B MarshallMedical Director · (754) 273-0885

Enumeration DateNovember 19, 2021

NPPES CertifiedAugust 6, 2020

✔ NPI 1336806801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4000 HOLLYWOOD BLVD STE 555S, Hollywood, FL 33021

Open in Google Maps ↗

Other Names 1

Doing Business AsMemorial Mental Health Of South Florida

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

Other Providers at the Same Location NPPES 19

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

LEA REMOLONA M.D.

General Practice