SOUTH BROWARD HOSPITAL DISTRICT (NPI# 1245621697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245621697 |
| Entity Type | Organization |
| Organization Name | SOUTH BROWARD HOSPITAL DISTRICT |
| Other Organization Name | MEMORIAL DIVISION OF PEDIATRIC DERMATOLOGY |
| Practice Address |
1150 N 35th Ave Suite 495 Hollywood FL 33021-5424 |
| Mailing Address |
2900 Corporate Way Mpg Door D Miramar FL 33025-3925 |
| Practice Telephone | 9542657546 |
| Mailing Telephone | 9542765681 |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-24 |
| Authorized Official Name | NINA BEAUCHESNE (SR VICE PRESIDENT MHS) |
| Authorized Official Telephone | 9542656996 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MEMORIAL DIVISION OF PEDIATRIC DERMATOLOGY | 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 SUITE 495 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-5424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336144641 | Hoang Duong | Radiology | 1150 N 35th Ave, Ste 300, Hollywood, FL 33021 | 2005-06-15 |
| 1457868861 | Archana John | Nurse Practitioner | 1150 N 35th Ave, Ste 300, Hollywood, FL 33021 | 2018-01-08 |
| 1003326281 | Fiorella Jahaira Saka | Nurse Practitioner | 1150 N 35th Ave, Suite 590, Hollywood, FL 33021-2118 | 2017-10-02 |
| 1790218865 | All Women's Healthcare, Inc | Obstetrics & Gynecology | 1150 N 35th Ave, Suite 550 B, Hollywood, FL 33021-5424 | 2017-04-06 |
| 1265972004 | Claudia Cortes | Physician Assistant | 1150 N 35th Ave, Suite 445, Hollywood, FL 33021-5424 | 2017-02-27 |
| 1669917837 | South Broward Hospital District | Internal Medicine | 1150 N 35th Ave, Hollywood, FL 33021-5424 | 2016-12-27 |
| 1114462207 | Lali B Parathalackal | Nurse Practitioner | 1150 N 35th Ave, Ste 460, Hollywood, FL 33021 | 2016-12-27 |
| 1598216681 | Sara Shemella | Physician Assistant | 1150 N 35th Ave, #575, Hollywood, FL 33021-5424 | 2016-10-24 |
| 1831542182 | Michael Medical Associates LLC | Internal Medicine | 1150 N 35th Ave, Suite 240, Hollywood, FL 33021-5424 | 2016-07-21 |
| 1821442922 | Layla Silverman | Dietitian, Registered | 1150 N 35th Ave, Suite 270, Hollywood, FL 33021-5424 | 2016-04-15 |
| Find all providers in the same location | ||||
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699125856 | Fl Optometry Care Pa | Dermatology | 3550 Emerald Pointe Dr, Apt 304a, Hollywood, FL 33021-1380 | 2016-06-20 |
| 1811062086 | A Center for Dermatology Pa | Dermatology | 3990 Sheridan Street, Suite 101, Hollywood, FL 33021-3655 | 2006-11-22 |
| 1053483420 | Louis Simonson | Dermatology | 1720 Harrison Street, Suite 8a, Hollywood, FL 33020-6828 | 2006-11-14 |
| 1275635294 | Sobel & Sofman Md Pa | Dermatology | 4340 Sheridan Street, Suite 101, Hollywood, FL 33021 | 2006-09-01 |
| 1114995057 | Stuart A Sobel | Dermatology | 4340 Sheridan St, Ste 101, Hollywood, FL 33021 | 2006-03-08 |
| 1053308965 | Eduardo T Weiss | Dermatology | 3850 Hollywood Blvd, Suite 301, Hollywood, FL 33021-6748 | 2005-10-05 |
| 1700374667 | Elite Podiatry LLC | Dermatology | 3381 N 41st Ct, Hollywood, FL 33021-1940 | 2018-04-26 |
| 1760873194 | Shah Dermatology LLC | Dermatology | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2015-02-06 |
| 1114361730 | Nicole M Rochet | Dermatology | 3850 Hollywood Blvd Ste 301, Hollywood, FL 33021-6745 | 2013-04-25 |
| 1740544956 | Stephanie N. Lasky | Dermatology | 4340 Sheridan Street, S. 101, Hollywood, FL 33021 | 2012-07-02 |
| Find all providers in HOLLYWOOD | ||||
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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.