OrganizationActive
South Broward Hospital District
NPI 1104229236 · Clinical Cardiac Electrophysiology Physician · Hollywood, FL
Provider details
- NPI number
- 1104229236
- Entity type
- Organization
- Primary specialty
- Clinical Cardiac Electrophysiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nina Beauchesne, Sr Vice President Mhs(954) 265-6996
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1150 N 35th Ave
Suite 605
Hollywood, FL 33021-5424
Phone: (954) 265-6939
Fax: (954) 265-6405
Street-level locationGet directions
Mailing address
2900 Corporate Way
Miramar, FL 33025-3925
Other names (DBA / former)
- Doing business as
- Memorial Division of Cardiac Electrophysiology
Registry dates
- Enumerated
- 2014-10-03
- Last updated
- 2014-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.