OrganizationActive
South Broward Hospital District
NPI 1306177589 · Pediatric Surgery Physician · Hollywood, FL
Provider details
- NPI number
- 1306177589
- Entity type
- Organization
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- South Broward Hospital District
- Organization subpart
- Yes
- Authorized official
- Esther Surujon, Cfo Mpg, Mpc and Ucc(954) 265-6677
- License
- 48741 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(93/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
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 555
Hollywood, FL 33021-5424
Phone: (954) 265-0072
Fax: (954) 981-0188
Street-level locationGet directions
Mailing address
2900 Corporate Way
Miramar, FL 33025-3925
Other names (DBA / former)
- Doing business as
- Memorial Division of Pediatric General Surgery
Additional practice locations (5)
- 20803 Biscayne Blvd Ste 204-AAventura, FL 33180-1469Phone: (954) 265-0072Fax: (954) 981-0188
- 5830 Coral Ridge Dr Ste 140Coral Springs, FL 33076-3388Phone: (954) 265-0072Fax: (954) 981-0188
- 1971 Sw 172nd Ave Ste 2500Miramar, FL 33029-5621Phone: (954) 265-0072Fax: (954) 981-0188
- 3377 N State Rd 7 Suite 100Wellington, FL 33449-8082Phone: (954) 265-0072Fax: (954) 981-0188
- 1865 N Corporate Lakes Blvd Ste 1Weston, FL 33326-3273Phone: (954) 265-0072Fax: (954) 981-0188
Registry dates
- Enumerated
- 2010-01-27
- Last updated
- 2025-05-21
- Certified
- 2025-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.