SOUTH BROWARD HOSPITAL DISTRICT
NPI 1740655455
Internal Medicine in Hollywood, FL

Active since December 07, 2015
3341 JOHNSON ST, HOLLYWOOD, FL 33021(954) 265-3982(954) 893-6518 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2025, Aug 24, 2023, Mar 17, 2018 and 3 more (6 updates tracked since 2015).

About South Broward Hospital District NPPES

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

SOUTH BROWARD HOSPITAL DISTRICT (NPI 1740655455), doing business as Memorial Division Of Medicine, is a healthcare organization registered as an internal medicine in Hollywood, Florida and active in the NPI registry since December 2015. The organization maintains a secondary practice location in Hollywood and lists Esther Surujon, Cfo Mpg, Ucc And Mpc, as its authorized official.

NPPES Registry Identity

NPI1740655455
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTH BROWARD HOSPITAL DISTRICT
Location Address3341 JOHNSON STHollywood, FL 33021
Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5685 · Fax (954) 985-7074
Fax(954) 893-6518
Organization SubpartYes
Authorized OfficialEsther SurujonCfo Mpg, Ucc And Mpc · (954) 265-6677
Enumeration DateDecember 7, 2015
Last NPPES UpdateApril 10, 20256 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1740655455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3341 JOHNSON ST, Hollywood, FL 33021

Other Names 1

Doing Business AsMemorial Division Of Medicine

Secondary Practice Location 1

Location 13702 Washington St Ste 403Hollywood, FL 33021-8284 · Phone (954) 265-3982 · Fax (954) 893-6518

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

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

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to South Broward Hospital District, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Internal Medicine3
Nurse Practitioner3
Family Practice2
Geriatric Medicine1
Sports Medicine1

Clinicians, nearest first (10)

Internal Medicine
NPI 1104869726
3341 JOHNSON ST
Hollywood, FL 33021
(954) 265-3982
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1245626621
3341 JOHNSON ST
Hollywood, FL 33021
(954) 265-3982
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1578586905
3341 JOHNSON ST
Hollywood, FL 33021
(954) 265-3982
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184823577
3341 JOHNSON ST
Hollywood, FL 33021
(954) 265-3982
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1003211707
3702 WASHINGTON ST STE 403
Hollywood, FL 33021
(954) 265-3982
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1619274891
10910 PEMBROKE RD
Miramar, FL 33025
(954) 265-8100
✔ PECOS7.6 mi
Sports Medicine
NPI 1417158759
12781 MIRAMAR PKWY STE 1-202
Miramar, FL 33027
(954) 276-1330
✔ PECOS✔ Accepts Medicare9.1 mi
Geriatric Medicine
NPI 1184650087
601 N FLAMINGO RD STE 316
Pembroke Pines, FL 33028
(954) 265-2653
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1528324555
3250 MERIDIAN PKWY
Weston, FL 33331
(954) 659-6038
✔ PECOS✔ Accepts Medicare13 mi
Family Practice
NPI 1568968360
175 SW 7TH ST STE 1511
Miami, FL 33130
(305) 454-5946
✔ PECOS✔ Accepts Medicare17 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 1740655455. It was assigned to this organization in the NPPES registry on December 7, 2015. The provider is doing business as Memorial Division of Medicine.

Where is South Broward Hospital District located?

South Broward Hospital District is located at 3341 Johnson St, Hollywood, FL 33021. The listed phone number is (954) 265-3982.

What is South Broward Hospital District's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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), 10 clinicians in 5 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 Internal Medicine (3), Nurse Practitioner (3) and Family Practice (2). Of these, 4 practice at this address and 7 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 April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.