South Broward Hospital District
NPI 1336504075 · Child & Adolescent Psychiatry Physician · Hollywood, FL
Enrolled with Medicare as Part B Supplier - Hospital Department(s) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Broward Hospital District is a Child & Adolescent Psychiatry Physician organization in Hollywood, FL (NPI 1336504075).
Provider details
- NPI number
- 1336504075
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry 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
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
Mailing address
Other names (DBA / former)
- Doing business as
- Memorial Division of Child/Adolescent Psychiatry
- Doing business as
- Memorial Division of Child/Adolescent Psychiatry
Additional practice locations (1)
- 5458 Town Center Rd Ste 102Boca Raton, FL 33486-1026Phone: (954) 276-9200Fax: (954) 276-0733
Registry dates
- Enumerated
- 2015-12-23
- Last updated
- 2025-07-14
- Certified
- 2025-07-14
Frequently asked questions
- What is South Broward Hospital District's NPI number?
- South Broward Hospital District's National Provider Identifier (NPI) is 1336504075, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Broward Hospital District?
- South Broward Hospital District is classified in the NPPES registry as Child & Adolescent Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is South Broward Hospital District located?
- South Broward Hospital District's practice location on file with NPPES is 3440 Hollywood Blvd Ste 360, Hollywood, FL 33021-6934.
- What is South Broward Hospital District's phone number?
- The practice phone number listed in the NPPES registry for South Broward Hospital District is (954) 276-9200.
- Does South Broward Hospital District accept Medicare?
- South Broward Hospital District is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Broward Hospital District?
- The authorized official listed on South Broward Hospital District's NPPES record is Esther Surujon, Cfo Mpg, Mpc and Ucc. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Broward Hospital District's NPI active?
- Yes — South Broward Hospital District's NPI (1336504075) is active in the NPPES registry as of the last update on 2025-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.