SOUTH BROWARD HOSPITAL DISTRICT NPI 1780691865

NPI Information

  • NPI: 1780691865
  • Provider Name: SOUTH BROWARD HOSPITAL DISTRICT
  • Classification: Internal Medicine - 207RH0000X
  • Specialization: Hematology
  • Entity Type: Organization
  • Doing Business As: MEMORIAL DIVISION OF CANCER INSTITUTE
  • CLIA Number: 10D2291958
  • Address: 12235 PINES BLVD
    PEMBROKE PINES, FL
    ZIP 33026
  • Phone: (954) 265-4325

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NPI Details

SOUTH BROWARD HOSPITAL DISTRICT is a hematology internal medicine in Pembroke Pines, FL. The provider is an internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. SOUTH BROWARD HOSPITAL DISTRICT NPI is 1780691865. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Memorial Division Of Cancer Institute.

The provider's business location address is:

12235 PINES BLVD
PEMBROKE PINES, FL
ZIP 33026-119
Phone: (954) 265-4325
Fax: (954) 438-5191

The provider's authorized official is Esther Surujon .
The authorized official title is Cfo Mpg, Mpc & Ucc and has the following contact phone number (954) 265-6677.

The CLIA number assigned to this NPI record is 10D2291958 - other - outpatient cancer center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 6/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0000XInternal MedicineHematologyYes
2207RX0202XInternal MedicineMedical OncologyNo

What is NPI?

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This page was last updated on: 3/30/2025

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