SOUTH BROWARD HOSPITAL DISTRICT
NPI 1407208952
Pediatrics - Adolescent Medicine in Hollywood, FL

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

The NPI number for South Broward Hospital District is 1407208952. It was assigned to this organization in the NPPES registry on July 8, 2016. The provider is doing business as Memorial Division of Adolescent Medicine.

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

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Active since July 08, 2016

1150 N 35TH AVE STE 560, HOLLYWOOD, FL 33021(954) 265-1460(954) 265-1375 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2025, May 6, 2024, Jul 5, 2018 and 1 more (4 updates tracked since 2016).

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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 1407208952), doing business as Memorial Division Of Adolescent Medicine, is a healthcare organization registered as an adolescent medicine in Hollywood, Florida and active in the NPI registry since July 2016. The organization maintains a secondary practice location in Miramar and lists Esther Surujon, Cfo Mpg, Mpc & Ucc, as its authorized official.

NPPES Registry Identity

NPI1407208952

Entity TypeOrganization

Primary Taxonomy2080A0000X

Legal Business NameSOUTH BROWARD HOSPITAL DISTRICT

Location Address1150 N 35TH AVE STE 560Hollywood, FL 33021

Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5685 · Fax (954) 985-7074

Phone(954) 265-1460

Fax(954) 265-1375

Organization SubpartYes

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

Enumeration DateJuly 8, 2016

Last NPPES UpdateMay 13, 20254 updates tracked since enumeration

NPPES CertifiedMay 13, 2025

✔ NPI 1407208952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

1150 N 35TH AVE STE 560, Hollywood, FL 33021

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Other Names 1

Doing Business AsMemorial Division Of Adolescent Medicine

Secondary Practice Location 1

Location 11971 SW 172nd Ave Ste 2500Miramar, FL 33029-5621 · Phone (954) 265-1460 · Fax (954) 265-1375

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

SOUTH BROWARD HOSPITAL DISTRICT

Obstetrics & Gynecology