OrganizationActive
South Broward Hospital District
NPI 1063704559 · Pediatric Otolaryngology Physician · Hollywood, FL
Provider details
- NPI number
- 1063704559
- Entity type
- Organization
- Primary specialty
- Pediatric Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- South Broward Hospital District
- Organization subpart
- Yes
- Authorized official
- Esther Surujon, Cfo Mpg, Mpc and Ucc(954) 265-6677
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1131 N 35th Ave Ste 300
Hollywood, FL 33021-5403
Phone: (954) 265-3030
Fax: (954) 893-6301
Approximate (ZIP-level) locationGet directions
Mailing address
2900 Corporate Way
Miramar, FL 33025-3925
Other names (DBA / former)
- Doing business as
- Memorial Division of Pediatric Otolaryngology
Additional practice locations (4)
- 5830 Coral Ridge Dr Ste 140Coral Springs, FL 33076-3388Phone: (954) 265-1616Fax: (954) 893-6301
- 4651 Sheridan St Ste 150Hollywood, FL 33021-3443Phone: (954) 276-1550Fax: (954) 893-6243
- 1971 Sw 172nd Ave Ste 2300Miramar, FL 33029-5625Phone: (954) 265-1616Fax: (954) 265-1617
- 3377 S State Road 7 Ste 100Wellington, FL 33449-8002Phone: (561) 341-7000Fax: (561) 784-7098
Registry dates
- Enumerated
- 2011-05-03
- Last updated
- 2025-05-13
- Certified
- 2025-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.