OrganizationActive
South Broward Hospital District
NPI 1194499863 · Family Medicine Physician · Miramar, FL
Provider details
- NPI number
- 1194499863
- Entity type
- Organization
- Primary specialty
- Family Medicine 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
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1951 Sw 172nd Ave Ste 210
Miramar, FL 33029-5613
Phone: (954) 265-2789
Approximate (ZIP-level) locationGet directions
Mailing address
2900 Corporate Way
Miramar, FL 33025-3925
Other names (DBA / former)
- Doing business as
- Memorial Primary Care Miramar Mob
Registry dates
- Enumerated
- 2021-08-05
- Last updated
- 2021-08-05
- Certified
- 2021-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.