OrganizationActive
South Broward Hospital District
NPI 1740951144 · Sports Medicine (Internal Medicine) Physician · Hollywood, FL
Provider details
- NPI number
- 1740951144
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Internal 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
Practice location
1150 N 35th Ave Ste 130
Hollywood, FL 33021-5424
Phone: (954) 276-7700
Fax: (954) 276-0021
Approximate (ZIP-level) locationGet directions
Mailing address
2900 Corporate Way
Miramar, FL 33025-3925
Other names (DBA / former)
- Doing business as
- Memorial Primary Care Sports Medicine
Registry dates
- Enumerated
- 2021-09-24
- Last updated
- 2021-09-24
- Certified
- 2021-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.