NPIMap

Organization Active NPI

South Broward Hospital District

Doing business as Memorial Division of Cystic Fibrosis

  • Pulmonary Disease Physician
  • Hollywood, FL
National Provider Identifier
1356359798
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
SOUTH BROWARD HOSPITAL DISTRICT
Doing business as
Memorial Division of Cystic Fibrosis
Practice address
1131 N 35TH Ave Ste 330
Hollywood, FL 33021-5403
Phone
(954) 265-6333
Fax
(954) 961-7027
NPI assigned
Aug 3, 2006
Last updated
Sep 25, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH BROWARD HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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
Phone
(954) 276-9312

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary
Clinical Genetics (M.D.) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207SG0201X

Addresses

Primary practice location

1131 N 35TH Ave Ste 330
Hollywood, FL 33021-5403

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685

Other practice location 1

5458 Town Center Rd Ste 102
Boca Raton, FL 33486-1026
Phone (954) 276-1600

Other practice location 2

1150 N 35th Ave Ste 490
Hollywood, FL 33021-5423
Phone (954) 265-3437

Other practice location 3

1971 SW 172nd Ave Ste 2500
Miramar, FL 33029-5621
Phone (954) 265-6333

Other practice location 4

4651 Sheridan St Ste 150
Hollywood, FL 33021-3443
Phone (954) 265-6331

Other practice location 5

1131 N 35th Ave Ste 230
Hollywood, FL 33021-5403
Phone (954) 965-6480

Other practice location 6

3377 S State Road 7 Ste 100
Wellington, FL 33449-8002
Phone (561) 341-7000

Other names 1

  • Memorial Division of Cystic Fibrosis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040107000217 FL Part B Supplier - Clinic/Group Practice 8123927373 Receives reassigned benefits from 490 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pembroke Pines, FL; Miramar, FL; Hollywood, FL; Wellington, FL; Weston, FL; Aventura, FL; Boca Raton, FL; Coral Springs, FL…
O20040209000093 FL Part B Supplier - Clinic/Group Practice 8123927373 Receives reassigned benefits from 80 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Miramar, FL; Weston, FL; Wellington, FL; Hollywood, FL; Aventura, FL; Coral Springs, FL; Boca Raton, FL

Other NPIs on the same Medicare enrollment 19

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

View all 19

National Provider Directory

National Provider Directory
Part of
Eddy H Carrillo MD

Locations

1005 Joe Dimaggio Dr
#4
Hollywood, FL 33021
Phone (954) 265-1482

1131 N 35th Ave
Ste 230
Hollywood, FL 33021
Phone (954) 265-6319

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1356359798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 N 35TH AVE STE 330",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215403",
            "telephone_number": "954-265-6333",
            "fax_number": "954-961-7027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5458 Town Center Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334861026",
            "country_code": "US",
            "telephone_number": "954-276-1600",
            "fax_number": "954-893-6244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 N 35th Ave Ste 490",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330215423",
            "country_code": "US",
            "telephone_number": "954-265-3437",
            "fax_number": "954-983-5052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1971 SW 172nd Ave Ste 2500",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330295621",
            "country_code": "US",
            "telephone_number": "954-265-6333",
            "fax_number": "954-961-7027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4651 Sheridan St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330213443",
            "country_code": "US",
            "telephone_number": "954-265-6331",
            "fax_number": "954-893-6244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1131 N 35th Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330215403",
            "country_code": "US",
            "telephone_number": "954-965-6480",
            "fax_number": "954-265-2077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3377 S State Road 7 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334498002",
            "country_code": "US",
            "telephone_number": "561-341-7000",
            "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": "2006-08-03",
        "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",
        "authorized_official_telephone_number": "954-276-9312"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Division of Cystic Fibrosis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.