SOUTH BROWARD HOSPITAL DISTRICT (NPI# 1639187180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639187180 |
| Entity Type | Organization |
| Organization Name | SOUTH BROWARD HOSPITAL DISTRICT |
| Other Organization Name | MEMORIAL DIVISION OF PEDIATRIC SPECIALTY |
| Practice Address |
1150 N 35th Ave Ste 100 Hollywood FL 33021 |
| Mailing Address |
2900 Corporate Way Door D Miramar FL 33025-3925 |
| Practice Telephone | 9542652234 |
| Practice Fax Number | 9542656380 |
| Mailing Telephone | 9542765685 |
| Mailing Fax Number | 9549857074 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2018-07-10 |
| 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 |
|---|---|---|---|---|---|
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians | ||
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 038184514 | 05 |
| Other Name | Type Code |
|---|---|
| Memorial Division of Pediatric Specialty | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1131 N 35th Ave Ste 200, Hollywood, FL 330215403 | 9542656984 | 9549815516 |
| 1865 N Corporate Lakes Blvd Ste 1, Weston, FL 333263273 | 9542656984 | |
| 20801 Biscayne Blvd Ste 203, Aventura, FL 331801422 | 9549355960 | 9549353186 |
| 9291 Glades Rd Ste 202, Boca Raton, FL 334343959 | 9542652234 | 9548936300 |
| 1951 Sw 172nd Ave Ste 204, Miramar, FL 330295613 | 9542652234 | 9548936300 |
| 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 100 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467173 | Lynn Meister | Pediatrics | 1150 N 35th Ave Ste 100, Hollywood, FL 33021 | 2005-06-20 |
| 1386791176 | Susan Alisanski | Pediatrics | 1150 N 35th Ave Ste 100, Hollywood, FL 33021-5424 | 2007-01-04 |
| 1871667048 | Carmen S Ballestas | Pediatrics | 1150 N 35th Ave Ste 100, Hollywood, FL 33021 | 2006-11-20 |
| 1811906431 | Anne Schaefer | Pediatrics | 1150 N 35th Ave Ste 100, Hollywood, FL 33021 | 2006-08-05 |
| 1811989932 | Deborah Kramer | Pediatrics | 1150 N 35th Ave Ste 100, Hollywood, FL 33021 | 2005-08-16 |
| 1679574883 | Iftikhar Hanif | Pediatrics | 1150 N 35th Ave Ste 100, Hollywood, FL 33021 | 2005-08-10 |
| 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 | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| 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 |
|---|---|---|---|---|
| 1568467173 | Lynn Meister | Pediatrics | 1150 N 35th Ave Ste 100, Hollywood, FL 33021 | 2005-06-20 |
| 1295907269 | Kerice Ann Pinkney | Pediatrics | 1150 N 35th Ave, Ste 100, Hollywood, FL 33021 | 2008-03-29 |
| 1386791176 | Susan Alisanski | Pediatrics | 1150 N 35th Ave Ste 100, Hollywood, FL 33021-5424 | 2007-01-04 |
| 1871667048 | Carmen S Ballestas | Pediatrics | 1150 N 35th Ave Ste 100, Hollywood, FL 33021 | 2006-11-20 |
| 1811906431 | Anne Schaefer | Pediatrics | 1150 N 35th Ave Ste 100, Hollywood, FL 33021 | 2006-08-05 |
| 1992714562 | Brian Cauff | Pediatrics | 1150 N 35th Ave, Suite 100, Hollywood, FL 33021-5424 | 2006-08-05 |
| 1811989932 | Deborah Kramer | Pediatrics | 1150 N 35th Ave Ste 100, Hollywood, FL 33021 | 2005-08-16 |
| 1679574883 | Iftikhar Hanif | Pediatrics | 1150 N 35th Ave Ste 100, Hollywood, FL 33021 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225598626 | Kidz Medical Services, Inc. | Pediatrics | 3100 Sw 62 Ave Suite 121-north East Wing, Miami, FL 33155-3009 | 2019-03-21 |
| 1417429986 | Natalie Gallegos | Pediatrics | 3100 Sw 62nd Ave # 122, Miami, FL 33155-3009 | 2018-12-21 |
| 1679978118 | Baptist Health Medical Group Oncology LLC | Pediatrics | 8940 N. Kendall Dr, Ste. 300e, Miami, FL 33176 | 2014-10-27 |
| 1225465461 | Victor M Montes Jordan | Pediatrics | 710 Wickham Lakes Dr, Viera, FL 32940-2200 | 2013-10-02 |
| 1801138144 | Taumoha Ghosh | Pediatrics | 1601 Nw 12th Ave Fl 5, Miami, FL 33136-1005 | 2013-03-25 |
| 1508112731 | Muaz Alabd Alrazzak | Pediatrics | 9980 Central Park Blvd., Suite 206, Boca Raton, FL 33428-1703 | 2012-07-25 |
| 1194080382 | Jorge Ricardo Galvez Silva | Pediatrics | 3100 Sw 62nd Ave Ste 121, Miami, FL 33155-3009 | 2012-07-12 |
| 1609025915 | Maggie C. Fader | Pediatrics | 3100 Sw 62 Ave (#212, N.e. Wing), Miami, FL 33155 | 2008-09-10 |
| 1679791370 | Guillermo Roberto De Angulo | Pediatrics | 3100 Sw 62nd Avenue, Ne Wing, Suite 121, Miami, FL 33155 | 2007-04-20 |
| 1417094707 | Kelly Sawczyn | Pediatrics | 9981 S. Healthpark Drive, Suite 156, Fort Myers, FL 33908-3618 | 2007-01-30 |
| 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.