South Broward Hospital District

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

SOUTH BROWARD HOSPITAL DISTRICT

Doing business as

Memorial Division of Orthopaedic Surgery and Sports Medicine

Practice address

1150 N 35TH Ave Ste 130
Hollywood, FL 33021-5424

Phone

(954) 265-6941

Fax

(954) 893-3799

NPI assigned

Apr 10, 2014

Last updated

Sep 25, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTH BROWARD HOSPITAL DISTRICTAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mario Salceda-Cruz

Title

Chief Operating Officer MPG

Phone

(954) 276-9312

Specialties & licenses 1

Addresses

Other names 1

• Memorial Division of Orthopaedic Surgery and Sports Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• South Broward Hospital District

  dba Memorial Regional Hospital

  • General Acute Care Hospital
  • Hollywood, FL
  • NPI 1780667923

  O20140602000834

  Same enrollment

Part of

Memorial Hosp Div Ortho

Locations

Networks

• HealthSun Health Plans Network

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen Avila

  • Acute Care Nurse Practitioner
  • Hollywood, FL
  • NPI 1386450633
  Medicare reassignment Care Compare group NPD
• Marjorie R Bredy, APRN

  • Nurse Practitioner
  • Hollywood, FL
  • NPI 1235404633
  Medicare reassignment Care Compare group NPD
• Daniel Bayon Chan, MD

  • Orthopaedic Trauma Physician
  • Fort Lauderdale, FL
  • NPI 1275734766
  Medicare reassignment Care Compare group NPD
• Jessica Deklavon

  • Physician Assistant
  • Hollywood, FL
  • NPI 1407505779
  Medicare reassignment Care Compare group NPD
• Laurie Ellis, P.A.-C.

  • Physician Assistant
  • Hallandale Beach, FL
  • NPI 1962508754
  Medicare reassignment Care Compare group NPD
• Alex Fokin Jr., MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Hollywood, FL
  • NPI 1902120546
  Medicare reassignment Care Compare group NPD
• Geden Franck, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Fort Lauderdale, FL
  • NPI 1972920890
  Medicare reassignment Care Compare group NPD
• Stephanie Holt, PA-C

  • Physician Assistant
  • Aventura, FL
  • NPI 1568207843
  Medicare reassignment Care Compare group NPD
• Eduardo Jose Natal-Albelo

  • Orthopaedic Surgery Physician
  • Miramar, FL
  • NPI 1780034801
  Medicare reassignment Care Compare group NPD
• Giorgio A Negron, MD

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Hollywood, FL
  • NPI 1710483573
  Medicare reassignment Care Compare group NPD
• Alexander Hoang Nguyen, MD

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1104231968
  Medicare reassignment Care Compare group NPD
• Krysten Riordan, PA

  • Surgical Physician Assistant
  • Pembroke Pines, FL
  • NPI 1245346063
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1174942783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "MPG DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE STE 130",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215424",
            "telephone_number": "954-265-6941",
            "fax_number": "954-893-3799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 W Cypress Creek Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333091868",
            "country_code": "US",
            "telephone_number": "954-265-7700",
            "fax_number": "954-276-0435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1951 SW 172nd Ave Ste 405",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330295614",
            "country_code": "US",
            "telephone_number": "954-265-7700",
            "fax_number": "954-276-0175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 N Flamingo Rd Ste 213",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330281009",
            "country_code": "US",
            "telephone_number": "954-659-0115",
            "fax_number": "954-659-0665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH BROWARD HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH BROWARD HOSPITAL DISTRICT",
        "enumeration_date": "2014-04-10",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "SALCEDA-CRUZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER MPG",
        "authorized_official_telephone_number": "954-276-9312"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Division of Orthopaedic Surgery and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Broward Hospital District (Memorial Division of Neurosurgery (Pediatrics and Adult))
• South Broward Hospital District (Memorial Regional Outpatient Pharmacy)
• South Broward Hospital District (Memorial Division of Immunology and Allergy)
• South Broward Hospital District (Memorial Primary Care Pharmacy)
• South Broward Hospital District (Memorial Division of Pediatric Interventional Cardiology)
• South Broward Hospital District (Memorial Healthcare System)
• South Broward Hospital District (Memorial Division of Surgical Oncology)
• South Broward Hospital District (Memorial Division of Pediatric Neurosurgery)
• South Broward Hospital District (Memorial Division of Pediatric Dermatology)
• South Broward Hospital District (Memorial Division of Rehabilitative Psychology)

• Sports Medicine (Orthopaedic Surgery) Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.