MEMORIAL DIVISION OF PEDIATRIC INTERVENTIONAL CARDIOLOGY – NPI #1164911764
Internal Medicine

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

MEMORIAL DIVISION OF PEDIATRIC INTERVENTIONAL CARDIOLOGY is a provider located in HOLLYWOOD, FL. NPPES has assigned the NPI number 1164911764 to MEMORIAL DIVISION OF PEDIATRIC INTERVENTIONAL CARDIOLOGY on May 09, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEMORIAL DIVISION OF PEDIATRIC INTERVENTIONAL CARDIOLOGY” is a dba name, the actual legal business name for this organization is SOUTH BROWARD HOSPITAL DISTRICT. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology

The NPI profile was previously updated about 3 years ago on Aug 31, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEMORIAL DIVISION OF PEDIATRIC INTERVENTIONAL CARDIOLOGY below.

NPI Profile for
SOUTH BROWARD HOSPITAL DISTRICT

NPI Number
1164911764
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH BROWARD HOSPITAL DISTRICT
Doing Business As (dba): MEMORIAL DIVISION OF PEDIATRIC INTERVENTIONAL CARDIOLOGY
Primary location
1150 N 35TH AVE STE 490
HOLLYWOOD, FL 33021-5423
Phone: (954) 265-3437 Fax: (954) 983-5052
3 Other location(s):
3501 Johnson St Fl 1
Hollywood, FL 33021-5421
Phone: (954) 265-3437
Fax: (954) 265-3731
1971 SW 172nd Ave Ste 500
Miramar, FL 33029-5592
Phone: (954) 265-3437
Fax: (954) 265-3731
3377 S State Road 7 Ste 100
Wellington, FL 33449-8002
Phone: (954) 265-3437
Fax: (954) 265-3731
Mailing address
2900 CORPORATE WAY
DOOR D
MIRAMAR, FL 33025-3925
Phone: (954) 276-5685 Fax: (954) 985-7074
Organization Subpart
Yes - MEMORIAL DIVISION OF PEDIATRIC INTERVENTIONAL CARDIOLOGY is subpart of another organization.
Authorized Official
ESTHER SURUJON
CFO MPG, MPC AND UCC
Phone: (954) 265-6677
Updated
Certification Date
Aug 31, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MEMORIAL DIVISION OF PEDIATRIC INTERVENTIONAL CARDIOLOGY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL009173532
MEDICAIDFL009173587
MEDICAIDFL009173517
MEDICAIDFL108351300
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RI0011X
- Internal Medicine / Interventional Cardiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.