SOUTH BROWARD HOSPITAL DISTRICT


Address: 3600 Washington St Ste 1005, Hollywood, FL 33021-8216
Phone: 9545185507

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Memorial Division of Rehabilitation Psychology Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
3702 Washington St Ste 303, Hollywood, FL 330218287 9545185507 9545185510

Other Provider IDs and Locations

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

Office Location

Street Address 3600 WASHINGTON ST STE 1005
City HOLLYWOOD
State FL
Zip Code 33021-8216

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City HOLLYWOOD
Zip Code 33021

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Dataset Information

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.

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