SOUTH BROWARD HOSPITAL DISTRICT (NPI# 1093262248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093262248 |
| Entity Type | Organization |
| Organization Name | SOUTH BROWARD HOSPITAL DISTRICT |
| Other Organization Name | MEMORIAL DIVISION OF KIDNEY TRANSPLANT |
| Practice Address |
1150 N 35th Ave Ste 390 Hollywood FL 33021-5429 |
| Mailing Address |
2900 Corporate Way Door D Miramar FL 33025-3925 |
| Practice Telephone | 9542657450 |
| Practice Fax Number | 9542657459 |
| Mailing Telephone | 9542765685 |
| Mailing Fax Number | 9549857074 |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2018-02-26 |
| Authorized Official Name | NINA BEAUCHESNE (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 9542653451 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH BROWARD HOSPITAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 038184578 | 05 |
| Other Name | Type Code |
|---|---|
| Memorial Division of Kidney Transplant | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386297513 | South Broward Hospital District | Clinic/Center | 7369 Sheridan St Ste 302b, Hollywood, FL 33024-2776 | 2019-07-17 |
| 1598321051 | South Broward Hospital District | Internal Medicine | 7369 Sheridan St Ste 302, Hollywood, FL 33024-2776 | 2019-05-10 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1821538505 | South Broward Hospital District | Pharmacy | 9571 Premier Pkwy, Miramar, FL 33025-3206 | 2017-03-01 |
| 1245656792 | South Broward Hospital District | Clinical Neuropsychologist | 3600 Washington St Ste 1005, Hollywood, FL 33021-8216 | 2014-03-07 |
| 1043656614 | South Broward Hospital District | Pharmacy | 9579 Premier Pkwy, Miramar, FL 33025-3206 | 2013-05-22 |
| 1205270907 | South Broward Hospital District | Neurological Surgery | 4650 Sheridan St, Suite 150, Hollywood, FL 33021 | 2013-04-24 |
| 1780027870 | South Broward Hospital District | Physical Medicine & Rehabilitation | 4651 Sheridan Street, Suite 150, Hollywood, FL 33024 | 2013-04-09 |
| 1790076115 | South Broward Hospital District | Pediatrics | 1131 N 35th Ave Ste 220, Hollywood, FL 33021-5403 | 2011-04-20 |
| 1790867133 | South Broward Hospital District | General Acute Care Hospital | 2900 Corporate Way, Miramar, FL 33025-3925 | 2006-10-19 |
| Street Address |
1150 N 35TH AVE STE 390 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-5429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225191703 | Juan D Arenas | Transplant Surgery | 1150 N 35th Ave Ste 390, Hollywood, FL 33021 | 2006-12-18 |
| 1649735010 | Lizandra Gutierrez | Nurse Practitioner | 1150 N 35th Ave Ste 390, Hollywood, FL 33021-5429 | 2019-02-09 |
| 1538636147 | Nikki Denson Strong | Nurse Practitioner | 1150 N 35th Ave Ste 390, Hollywood, FL 33021 | 2018-11-01 |
| 1598266595 | Clemine Lelievre-privat | Nurse Practitioner | 1150 N 35th Ave Ste 390, Hollywood, FL 33021 | 2018-02-24 |
| 1649515297 | Kathryn Weber Shaw | Surgery | 1150 N 35th Ave Ste 390, Hollywood, FL 33021-5429 | 2012-12-09 |
| 1740432269 | Fernando Edilberto Pedraza Taborda | Internal Medicine | 1150 N 35th Ave Ste 390, Hollywood, FL 33021-5429 | 2008-10-15 |
| 1598973067 | Heather Anne Laguardia | Internal Medicine | 1150 N 35th Ave Ste 390, Hollywood, FL 33021-5429 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225191703 | Juan D Arenas | Transplant Surgery | 1150 N 35th Ave Ste 390, Hollywood, FL 33021 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063936854 | Vighnesh Vetrivel Venkatasamy | Transplant Surgery | Miami Transplant Institute, Jackson Memorial Hospital, 1611 Nw 12 Avenue, Miami, FL 33136 | 2017-08-02 |
| 1366825408 | Narendra Battula | Transplant Surgery | 1600 Sw Archer Rd # 100118, Gainesville, FL 32610-2429 | 2015-07-07 |
| 1457639528 | Rupak Dilip Kulkarni | Transplant Surgery | Division of Transplantation Dept of Surgery, Uf College of Medicine,1600 Sw Archer Rd, Gainesville, FL 32610-0118 | 2011-07-23 |
| 1073765574 | Emmanouil Palaios | Transplant Surgery | 1600 S Andrews Ave Fl 1, West Wing, Ft Lauderdale, FL 33316-2510 | 2008-10-15 |
| 1659546281 | Lynsey Allen Biondi | Transplant Surgery | 13685 Doctors Way Ste 330, Fort Myers, FL 33912-4347 | 2008-04-24 |
| 1811185135 | Ali Zarrinpar | Transplant Surgery | 1600 Sw Archer Rd Dept Of, Gainesville, FL 32610-8358 | 2007-10-11 |
| 1063629046 | Lawrence Joel Shapiro | Transplant Surgery | 4981 W Atlantic Ave, Delray Beach, FL 33445-3850 | 2007-05-17 |
| 1487727376 | Thanh Hang Khac Nguyen | Transplant Surgery | 580 S. Habana Ave., Suite 380, Tampa, FL 33609 | 2006-11-16 |
| 1528148905 | Florida Heart Lung & Transplant Surgery P L | Transplant Surgery | 4 Columbia Dr Ste 210, Tampa, FL 33606-3500 | 2006-10-17 |
| 1942238803 | Stanton Forrest Dodson | Transplant Surgery | 701 Nw 13th Street, Suite 3097, Boca Raton, FL 33486 | 2006-06-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.