SOUTH BROWARD HOSPITAL DISTRICT
NPI 1366785743
Surgery - Vascular Surgery in Hollywood, FL

Active since April 03, 2013
1150 N 35TH AVE STE 460, HOLLYWOOD, FL 33021(954) 265-4664(954) 265-8373 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 10, 2026, Jul 13, 2023, Jan 28, 2020 and 1 more (4 updates tracked since 2016).

About South Broward Hospital District NPPES

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

SOUTH BROWARD HOSPITAL DISTRICT (NPI 1366785743), doing business as Memorial Division Of Vascular Surgery, is a healthcare organization registered as a vascular surgery in Hollywood, Florida and active in the NPI registry since April 2013. The organization maintains 5 additional practice locations and lists Mario Salceda-cruz, Coo Memoria Physician Group, as its authorized official.

NPPES Registry Identity

NPI1366785743
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameSOUTH BROWARD HOSPITAL DISTRICT
Location Address1150 N 35TH AVE STE 460Hollywood, FL 33021-5430
Mailing Address2900 Corporate Way, Door DMiramar, FL 33025 · (954) 276-5685 · Fax (954) 985-7074
Fax(954) 265-8373
Organization SubpartYes
Authorized OfficialMario Salceda-cruzCoo Memoria Physician Group · (954) 276-9312
Enumeration DateApril 3, 2013
Last NPPES UpdateJuly 10, 20264 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1366785743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
1150 N 35TH AVE STE 460, Hollywood, FL 33021

Other Names 1

Doing Business AsMemorial Division Of Vascular Surgery

Secondary Practice Locations 5

Location 11951 SW 172nd Ave Ste 404Miramar, FL 33029-5614 · Phone (954) 264-4664 · Fax (954) 265-8373
Location 21150 N 35th Ave Ste 465Hollywood, FL 33021-5467 · Phone (954) 265-4664 · Fax (954) 265-8373
Location 32301 N University Dr Ste 211Pembroke Pines, FL 33024-3617 · Phone (954) 844-4664 · Fax (954) 844-4669
Location 41150 N 35th Ave Ste 440Hollywood, FL 33021-5430 · Phone (954) 265-4664 · Fax (954) 265-8373
Location 5601 N Flamingo Rd Ste 202Pembroke Pines, FL 33028-1008 · Phone (954) 265-4664 · Fax (954) 265-8373

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)

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

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to South Broward Hospital District, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 13 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Vascular Surgery9
Nurse Practitioner5
General Surgery1

Clinicians, nearest first (15)

Nurse Practitioner
NPI 1508169699
1150 N 35TH AVE
Hollywood, FL 33021
(954) 265-1125
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1639145774
1150 N 35TH AVE STE 240
Hollywood, FL 33021
(954) 507-6634
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1558660928
1150 N 35TH AVE STE 460
Hollywood, FL 33021
(954) 265-4664
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1871565010
1150 N 35TH AVE STE 460
Hollywood, FL 33021
(954) 265-4664
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1114462207
1150 N 35TH AVE STE 460
Hollywood, FL 33021
(954) 265-1125
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1386408094
3501 JOHNSON ST
Hollywood, FL 33021
(954) 987-2000
✔ PECOS✔ Accepts Medicare0.1 mi
Vascular Surgery
NPI 1174784433
1601 S ANDREWS AVE FL 3
Fort Lauderdale, FL 33316
(954) 320-3380
✔ PECOS✔ Accepts Medicare6.0 mi
Vascular Surgery
NPI 1255759601
2307 W BROWARD BLVD STE 200
Fort Lauderdale, FL 33312
(954) 906-0591
✔ PECOS✔ Accepts Medicare7.0 mi
Vascular Surgery
NPI 1215180443
601 N FLAMINGO RD STE 202
Pembroke Pines, FL 33028
(954) 844-4664
✔ PECOS✔ Accepts Medicare8.3 mi
Nurse Practitioner
NPI 1427415801
601 N FLAMINGO RD STE 202
Pembroke Pines, FL 33028
(954) 844-4664
✔ PECOS✔ Accepts Medicare8.3 mi
Vascular Surgery
NPI 1891914016
601 N FLAMINGO RD STE 202
Pembroke Pines, FL 33028
(954) 844-4664
✔ PECOS✔ Accepts Medicare8.3 mi
Vascular Surgery
NPI 1548373046
601 N FLAMINGO RD STE 202
Pembroke Pines, FL 33028
(954) 844-4664
✔ PECOS✔ Accepts Medicare8.3 mi
General Surgery
NPI 1770719445
601 N FLAMINGO RD STE 202
Pembroke Pines, FL 33028
(954) 844-4664
✔ PECOS✔ Accepts Medicare8.9 mi
Vascular Surgery
NPI 1932369071
601 N FLAMINGO RD STE 202
Pembroke Pines, FL 33028
(954) 265-9520
✔ PECOS✔ Accepts Medicare10 mi
Vascular Surgery
NPI 1598071987
2500 N STATE ST
Jackson, MS 39216
(601) 984-5102
✔ PECOS✔ Accepts Medicare744 mi

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

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Memorial Regional Outpatient Pharma carries, from the Medicare DMEPOS supplier directory.

Memorial Regional Outpatient Pharma

DMEPOS supplier · Hollywood, FLOperated by South Broward Hospital District
✔

Accepts Medicare assignment

Memorial Regional Outpatient Pharma agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20347367
Medicare Participant SinceJanuary 1, 2024
Supplier Location1150 N 35th Ave Ste 105Hollywood, FL 33021
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 1366785743. It was assigned to this organization in the NPPES registry on April 3, 2013. The provider is doing business as Memorial Division of Vascular Surgery.

Where is South Broward Hospital District located?

South Broward Hospital District is located at 1150 N 35th Ave Ste 460, Hollywood, FL 33021. The listed phone number is (954) 265-4664.

What is South Broward Hospital District's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

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), 15 clinicians in 3 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 Vascular Surgery (9), Nurse Practitioner (5) and General Surgery (1). Of these, 5 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does South Broward Hospital District accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Memorial Regional Outpatient Pharma accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does South Broward Hospital District accept?

Health plans from 22 Health 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 July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.