SOUTH BROWARD HOSPITAL DISTRICT (NPI# 1245656792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245656792 |
Entity Type | Organization |
Organization Name | SOUTH BROWARD HOSPITAL DISTRICT |
Other Organization Name | MEMORIAL DIVISION OF REHABILITATION PSYCHOLOGY |
Practice Address |
3600 Washington St Ste 1005 Hollywood FL 33021-8216 |
Mailing Address |
2900 Corporate Way Mpg Door D Miramar FL 33025-3925 |
Practice Telephone | 9545185507 |
Practice Fax Number | 9545185510 |
Mailing Telephone | 9542655685 |
Mailing Fax Number | 9549857074 |
Enumeration Date | 2014-03-07 |
Last Update Date | 2019-09-28 |
Authorized Official Name | ESTHER SURUJON (CFO MEMORIAL PHYSICIAN GROUP & MPC) |
Authorized Official Telephone | 9542656677 |
Is Organization Subpart | Y |
Parent Organization Name | SOUTH BROWARD HOSPITAL DISTRICT |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
Memorial Division of Rehabilitation Psychology | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
3702 Washington St Ste 303, Hollywood, FL 330218287 | 9545185507 | 9545185510 |
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 |
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 |
1407865520 | South Broward Hospital District | Orthopaedic Surgery | 1150 N. 35th Avenue, Suite 345, Hollywood, FL 33021-5424 | 2006-08-07 |
Street Address |
3600 WASHINGTON ST STE 1005 |
City | HOLLYWOOD |
State | FL |
Zip Code | 33021-8216 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578102497 | Karin Alexandra Cabeza | Psychologist | 3600 Washington St Ste 1005, Hollywood, FL 33021-8216 | 2019-12-23 |
1023401932 | Marian Rosado | Clinical Neuropsychologist | 3600 Washington St Ste 1005, Hollywood, FL 33021-8216 | 2015-03-17 |
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 | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538385919 | Jacqueline C Valdes | Clinical Neuropsychologist | 2214 Hollywood Blvd, Hollywood, FL 33020-6702 | 2007-04-17 |
1962528133 | William A Sherman Jr. | Clinical Neuropsychologist | 44610 Smiths Nursery Rd, Hollywood, MD 20636-2902 | 2007-03-21 |
1336258144 | Steven Lloyd Ganzell | Clinical Neuropsychologist | 6115 Selma Ave, Suite 200, Hollywood, CA 90028-6440 | 2006-08-29 |
1831177435 | Jacqueline Chehebar-valdes Phd Pa | Clinical Neuropsychologist | 2214 Hollywood Boulevard, Hollywood, FL 33020 | 2006-01-04 |
1629589833 | Cristina Carolina Santiago | Clinical Neuropsychologist | 1150 N 35th Ave Ste 520, Hollywood, FL 33021-5431 | 2017-10-14 |
1023401932 | Marian Rosado | Clinical Neuropsychologist | 3600 Washington St Ste 1005, Hollywood, FL 33021-8216 | 2015-03-17 |
1275826125 | Thomas A. Crum, Ph.d., Pa | Clinical Neuropsychologist | 450 N Park Rd, Suite 502, Hollywood, FL 33021-6917 | 2011-05-25 |
1447559448 | Center for Neuropsychological Assessment Services LLC | Clinical Neuropsychologist | 3501 Johnson St, Hollywood, FL 33021-5421 | 2011-03-16 |
1740583582 | Christina Maria Zafiris | Clinical Neuropsychologist | 4651 Sheridan St, Ste 150, Hollywood, FL 33021-3457 | 2010-12-17 |
1548577034 | Lawrence Brooks | Clinical Neuropsychologist | 3810 Hollywood Blvd, Suite 2, Hollywood, FL 33021-6779 | 2010-09-07 |
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.