SOUTH BROWARD HOSPITAL DISTRICT (NPI# 1467468496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467468496 |
| Entity Type | Organization |
| Organization Name | SOUTH BROWARD HOSPITAL DISTRICT |
| Other Organization Name | MEMORIAL DIVISION OF PEDIATRIC NEPHROLOGY |
| Practice Address |
1131 N 35th Ave Ste 210 Hollywood FL 33021-5403 |
| Mailing Address |
2900 Corporate Way Door D Miramar FL 33021-3925 |
| Practice Telephone | 9542659344 |
| Practice Fax Number | 9549865122 |
| Mailing Telephone | 9542765685 |
| Mailing Fax Number | 9549857074 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2018-03-17 |
| 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 | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 038184529 | 05 |
| Other Name | Type Code |
|---|---|
| Memorial Division of Pediatric Nephrology | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1951 Sw 172nd Ave Ste 204, Miramar, FL 330295613 | 9542659344 | 9549865122 |
| 900 Glades Rd Ste 501, Boca Raton, FL 334316421 | 9542659344 | 9549865122 |
| 1865 N Corporate Lakes Blvd Ste 1, Weston, FL 333263273 | 9542659344 | 9549865122 |
| 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 |
1131 N 35TH AVE STE 210 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437197373 | Reem Hussni Raafat | Pediatrics | 1131 N 35th Ave Ste 210, Hollywood, FL 33021 | 2006-06-03 |
| 1174930861 | Bonnie Smeryage | Nurse Practitioner | 1131 N 35th Ave Ste 210, Hollywood, FL 33021-5403 | 2014-07-15 |
| 1235472572 | Karezhe Tigineh Mersha | Pediatrics | 1131 N 35th Ave Ste 210, Hollywood, FL 33021 | 2013-04-05 |
| 1598785479 | Alex Constantinescu | Pediatrics | 1131 N 35th Ave Ste 210, Hollywood, FL 33021-5403 | 2006-07-20 |
| 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 | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437197373 | Reem Hussni Raafat | Pediatrics | 1131 N 35th Ave Ste 210, Hollywood, FL 33021 | 2006-06-03 |
| 1285671628 | Ivy Boydstun | Pediatrics | 1131 N 35th Ave Fl 2, Hollywood, FL 33021 | 2006-06-02 |
| 1740278209 | Michael Freundlich | Pediatrics | 3427 Johnson St, Hollywood, FL 33021-5420 | 2005-10-10 |
| 1235472572 | Karezhe Tigineh Mersha | Pediatrics | 1131 N 35th Ave Ste 210, Hollywood, FL 33021 | 2013-04-05 |
| 1598785479 | Alex Constantinescu | Pediatrics | 1131 N 35th Ave Ste 210, Hollywood, FL 33021-5403 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114301736 | Harold Marder | Pediatrics | 14030 Old Cypress Bnd, Palm Beach Gardens, FL 33410-1121 | 2015-07-14 |
| 1366715799 | Frank William Ayestaran Cassani | Pediatrics | 17 Davis Blvd Ste 200, Tampa, FL 33606-3438 | 2012-02-15 |
| 1356655187 | Omer Mansoor | Pediatrics | 5325 Greenwood Ave Ste 204, West Palm Beach, FL 33407-2452 | 2010-08-04 |
| 1174848378 | Jessica M Rodriguez | Pediatrics | 13101 Bruce B Dwn Blvd # 105, Tampa, FL 33612-3803 | 2010-03-30 |
| 1376552760 | Felix I. Ramirez-seijas | Pediatrics | 3200 Sw 60th Ct Ste 304, Miami, FL 33155-4071 | 2006-08-05 |
| 1629094735 | Irina F Gershin-stevens | Pediatrics | 15901 Bass Rd Ste 102, Fort Myers, FL 33908-3838 | 2006-07-14 |
| 1225060908 | Larry T Patterson | Pediatrics | 1600 Sw Archer Rd # 100296, Gainesville, FL 32610 | 2006-07-06 |
| 1215965595 | Robert S. Mathias | Pediatrics | 1717 S. Orange Ave., Suite 100, Orlando, FL 32806-2946 | 2006-06-28 |
| 1922055615 | Ana L Paredes | Pediatrics | 6200 Sunset Dr Ste 303, South Miami, FL 33143-4829 | 2006-05-28 |
| 1649748880 | Amanda Cook | Pediatrics | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2018-11-06 |
| 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.