OrganizationActive
South Broward Hospital District
NPI 1407208952 · Pediatric Adolescent Medicine Physician · Hollywood, FL
Provider details
- NPI number
- 1407208952
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- South Broward Hospital District
- Organization subpart
- Yes
- Authorized official
- Esther Surujon, Cfo Mpg, Mpc & Ucc(954) 265-6677
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1150 N 35th Ave Ste 560
Hollywood, FL 33021
Phone: (954) 265-1460
Fax: (954) 265-1375
Street-level locationGet directions
Mailing address
2900 Corporate Way
Miramar, FL 33025-3925
Other names (DBA / former)
- Doing business as
- Memorial Division of Adolescent Medicine
Additional practice locations (1)
- 1971 Sw 172nd Ave Ste 2500Miramar, FL 33029-5621Phone: (954) 265-1460Fax: (954) 265-1375
Registry dates
- Enumerated
- 2016-07-08
- 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.