NPI 1174942783
South Broward Hospital District
Practice location
- Address
- 1150 N 35th Ave Suite 130, Hollywood, FL 33021-5424
- Phone
- (954) 265-6941
- Fax
- (954) 893-3799
- Mailing address
- 2900 Corporate Way Mpg Door D, Miramar, FL 33025-3925
Authorised official
- Name
- Nina Beauchesne
- Title
- Executive Vice President
- Phone
- (954) 265-6996
Registered specialties
Sports Medicine (Orthopaedic Surgery) Physician
Primary
Registry record
- NPI
- 1174942783
- Entity type
- Organization
- NPI issued
- 10 Apr 2014
- Record last updated
- 26 Jun 2024
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.