NPI 1063013787

South Broward Hospital District

Organisation Pediatrics Physician Hollywood, FL

Practice location

Address: 1005 Joe Dimaggio Dr Pediatrics Floor 4, Hollywood, FL 33021-5402
Phone: (954) 265-6331
Fax: (954) 893-6244
Mailing address: 2900 Corporate Way Door D, Miramar, FL 33025-3925

Authorised official

Name: Esther Surujon
Title: Chief Financial Officer Mpg and Mpc
Phone: (954) 265-6677

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Florida →

Registry record

NPI: 1063013787
Entity type: Organization
NPI issued: 9 Nov 2020
Record last updated: 3 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.