NPI 1063704559

South Broward Hospital District

Organisation Pediatric Otolaryngology Physician Hollywood, FL

Practice location

Address: 1131 N 35th Ave STE 300, Hollywood, FL 33021-5403
Phone: (954) 265-3030
Fax: (954) 893-6301
Mailing address: 2900 Corporate Way Door D, Miramar, FL 33025-3925

Authorised official

Name: Esther Surujon
Title: Cfo Mpg, Mpc and Ucc
Phone: (954) 265-6677

Registered specialties

Pediatric Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YP0228X

Other Otolaryngology providers in Florida →

Registry record

NPI: 1063704559
Entity type: Organization
NPI issued: 3 May 2011
Record last updated: 13 May 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.