South Broward Hospital District
NPI 1790076115 · Pediatric Allergy/Immunology Physician · Hollywood, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Broward Hospital District is a Pediatric Allergy/Immunology Physician organization in Hollywood, FL (NPI 1790076115).
Provider details
- NPI number
- 1790076115
- Entity type
- Organization
- Primary specialty
- Pediatric Allergy/Immunology 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
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Mailing address
Other names (DBA / former)
- Doing business as
- Memorial Division of Immunology, Allergy and Pediatric Rheumatology
Additional practice locations (5)
- 900 Glades Rd Ste 501Boca Raton, FL 33431-6421Phone: (954) 265-3030Fax: (954) 265-3065
- 1150 N 35th Ave Ste 490Hollywood, FL 33021-5423Phone: (954) 265-3437Fax: (954) 983-5052
- 1951 Sw 172nd Ave Ste 415Miramar, FL 33029-5614Phone: (954) 265-3030Fax: (954) 265-3065
- 601 N Flamingo Rd Ste 403Pembroke Pines, FL 33028-1011Phone: (954) 265-3030Fax: (954) 276-0165
- 3377 S State Rd 7Suite 100Wellington, FL 33449-8082Phone: (561) 341-7000Fax: (561) 784-7098
Registry dates
- Enumerated
- 2011-04-20
- Last updated
- 2026-01-06
- Certified
- 2026-01-06
Frequently asked questions
- What is South Broward Hospital District's NPI number?
- South Broward Hospital District's National Provider Identifier (NPI) is 1790076115, 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 Pediatric Allergy/Immunology Physician (Allopathic & Osteopathic Physicians).
- Where is South Broward Hospital District located?
- South Broward Hospital District's practice location on file with NPPES is 1131 N 35th Ave Ste 220, Hollywood, FL 33021-5403.
- 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) 265-3030.
- 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 & 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 (1790076115) is active in the NPPES registry as of the last update on 2026-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.