MEMORIAL DIVISION OF VASCULAR SURGERY – NPI #1366785743
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

MEMORIAL DIVISION OF VASCULAR SURGERY is a surgeon located in HOLLYWOOD, FL. NPPES has assigned the NPI number 1366785743 to MEMORIAL DIVISION OF VASCULAR SURGERY on April 03, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEMORIAL DIVISION OF VASCULAR SURGERY” is a dba name, the actual legal business name for this organization is SOUTH BROWARD HOSPITAL DISTRICT. According to the NPI data, there are 4 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 3 years ago on Jul 13, 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 VASCULAR SURGERY below.

NPI Profile for
SOUTH BROWARD HOSPITAL DISTRICT

NPI Number
1366785743
Enumeration Date

(more than 13 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 VASCULAR SURGERY
Primary location
1150 N 35TH AVENUE
STE 460
HOLLYWOOD, FL 33021
Phone: (954) 265-4664 Fax: (954) 265-8373
4 Other location(s):
1150 N 35th Ave Ste 440
Hollywood, FL 33021-5430
Phone: (954) 265-4664
Fax: (954) 265-8373
1951 SW 172nd Ave Ste 404
Miramar, FL 33029-5614
Phone: (954) 264-4664
Fax: (954) 265-8373
2301 N University Dr Ste 211
Pembroke Pines, FL 33024-3617
Phone: (954) 844-4664
Fax: (954) 844-4669
601 N Flamingo Rd Ste 202
Pembroke Pines, FL 33028-1008
Phone: (954) 265-4664
Fax: (954) 265-8373
Mailing address
2900 CORPORATE WAY
DOOR D
MIRAMAR, FL 33025
Phone: (954) 276-5685 Fax: (954) 985-7074
Organization Subpart
Yes - MEMORIAL DIVISION OF VASCULAR SURGERY is subpart of another organization.
Authorized Official
ESTHER SURUJON
CFO MPG, MPC AND UCC
Phone: (954) 265-6677
Updated
Certification Date
Jul 13, 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.

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
2086S0129X
- Surgery / Vascular Surgery (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.