SOUTH BROWARD HOSPITAL DISTRICT (NPI# 1780691865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780691865 |
| Entity Type | Organization |
| Organization Name | SOUTH BROWARD HOSPITAL DISTRICT |
| Other Organization Name | MEMORIAL DIVISION OF CANCER INSTITUTE |
| Practice Address |
1150 N 35th Ave Ste 330 Hollywood FL 33021-5488 |
| Mailing Address |
2900 Corporate Way Door D Miramar FL 33025-3925 |
| Practice Telephone | 9542765603 |
| Practice Fax Number | 9549813872 |
| Mailing Telephone | 9542765685 |
| Mailing Fax Number | 9549857074 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-05-11 |
| 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 | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 038184516 | 05 |
| Other Name | Type Code |
|---|---|
| Memorial Division of Cancer Institute | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1150 N 35th Ave Ste 385, Hollywood, FL 330215429 | 9542654325 | 9549813872 |
| 1150 N 35th Ave Ste 385, Hollywood, FL 330215429 | 9542765603 | 9549813872 |
| 1951 Sw 172nd Ave Ste 313, Miramar, FL 330295614 | 9542654325 | 9544434747 |
| 1951 Sw 172nd Ave Ste 313, Miramar, FL 330295614 | 9542765603 | 9544434747 |
| 20801 Biscayne Blvd Ste 200, Aventura, FL 331801422 | 9542654325 | 9549353186 |
| 20801 Biscayne Blvd Ste 200, Aventura, FL 331801422 | 9542765603 | 9549353186 |
| 603 N Flamingo Rd Ste 151, Pembroke Pines, FL 330281021 | 9542654325 | 9544364606 |
| 603 N Flamingo Rd Ste 151, Pembroke Pines, FL 330281021 | 9542765603 | 9544364606 |
| 801 N Flamingo Rd Ste 11, Pembroke Pines, FL 330281046 | 9542654325 | 9544434747 |
| 801 N Flamingo Rd Ste 11, Pembroke Pines, FL 330281046 | 9542765603 | 9544434747 |
| 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 330 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-5488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306830138 | Frederick N Wittlin | Internal Medicine | 1150 N 35th Ave Ste 330, Hollywood, FL 33021-5488 | 2005-09-08 |
| 1174144075 | Karina Salomon | Registered Nurse | 1150 N 35th Ave Ste 330, Hollywood, FL 33021-5488 | 2020-05-01 |
| 1225508005 | Courtney Fitzgerald | Nurse Practitioner | 1150 N 35th Ave Ste 330, Hollywood, FL 33021-5488 | 2018-12-05 |
| 1093293151 | Jheanelle R Bailey | Nurse Practitioner | 1150 N 35th Ave Ste 330, Hollywood, FL 33021-5488 | 2018-08-01 |
| 1043687619 | Alexandria West Diego | Nurse Practitioner | 1150 N 35th Ave Ste 330, Hollywood, FL 33021-5488 | 2015-08-30 |
| 1972796159 | Brian Hunis | Internal Medicine | 1150 N 35th Ave Ste 330, Hollywood, FL 33021-5488 | 2007-08-22 |
| 1427014893 | Maria I Morales | Nurse Practitioner | 1150 N 35th Ave Ste 330, Hollywood, FL 33021-5488 | 2006-04-25 |
| 1073579355 | Marcos Rejtman | Family Medicine | 1150 N 35th Ave Ste 330, Hollywood, FL 33021 | 2006-04-25 |
| 1245225143 | Atif Hussein | Internal Medicine | 1150 N 35th Ave Ste 330, Hollywood, FL 33021 | 2005-09-16 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306830138 | Frederick N Wittlin | Internal Medicine | 1150 N 35th Ave Ste 330, Hollywood, FL 33021-5488 | 2005-09-08 |
| 1447508502 | Cancer Cure Pa | Internal Medicine | 3850 Hollywood Blvd, Suite 1b, Hollywood, FL 33021-6748 | 2012-08-21 |
| 1730416637 | Ney R F Alves Md P A | Internal Medicine | 3850 Hollywood Blvd, Suite 1b, Hollywood, FL 33021-6748 | 2009-11-13 |
| 1518105634 | Delia C Guaqueta | Internal Medicine | 1150 N 35th Ave Ste 170, Hollywood, FL 33021-5424 | 2009-01-27 |
| 1265683171 | Minal M Shah | Internal Medicine | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2008-10-09 |
| 1609031996 | Isaac Levy Md Pa | Internal Medicine | 7770 Davie Road Ext, Hollywood, FL 33024-2516 | 2008-07-25 |
| 1518132570 | Michel Velez | Internal Medicine | 1150 N 35th Ave Ste 170, Hollywood, FL 33021 | 2008-04-29 |
| 1972796159 | Brian Hunis | Internal Medicine | 1150 N 35th Ave Ste 330, Hollywood, FL 33021-5488 | 2007-08-22 |
| 1689885022 | Marcelo Blaya | Internal Medicine | 1150 N 35th Ave Ste 170, Hollywood, FL 33021 | 2007-05-25 |
| 1114138534 | Carmen Calfa | Internal Medicine | 3700 Johnson St, Memorial Health System/breast Cancer Center, Hollywood, FL 33021-6031 | 2007-05-25 |
| Find all providers in HOLLYWOOD | ||||
Please comment or provide details below to improve the information on SOUTH BROWARD HOSPITAL DISTRICT.
| 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.