NPIMap

Organization Active NPI

South Broward Hospital District

Doing business as Memorial Division of Pediatric Specialty

  • Pediatric Hematology & Oncology Physician
  • Hollywood, FL
National Provider Identifier
1639187180
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
Legal business name
SOUTH BROWARD HOSPITAL DISTRICT
Doing business as
Memorial Division of Pediatric Specialty
Practice address
1150 N 35TH Ave Ste 100
Hollywood, FL 33021
Phone
(954) 265-2234
Fax
(954) 265-6380
NPI assigned
Aug 3, 2006
Last updated
Jan 6, 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 Jan 6, 2026

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

Authorized official

Name
Esther Surujon
Title
Cfo MPG, MPC & Ucc
Phone
(954) 265-6677

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X
Pediatric Hematology & Oncology Physician 2080P0207X Primary

Addresses

Primary practice location

1150 N 35TH Ave Ste 100
Hollywood, FL 33021

Mailing address

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

Other practice location 1

9291 Glades Rd Ste 202
Boca Raton, FL 33434-3959
Phone (954) 265-2234

Other practice location 2

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

Other practice location 3

1865 N Corporate Lakes Blvd Ste 1
Weston, FL 33326-3273
Phone (954) 265-6984

Other practice location 4

1971 SW 172nd Ave Ste 2500
Miramar, FL 33029-5621
Phone (954) 265-2234

Other practice location 5

1971 SW 172nd Ave Ste 2800
Miramar, FL 33029-5622
Phone (954) 265-6984

Other practice location 6

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

Other practice location 7

1131 N 35th Ave Ste 200
Hollywood, FL 33021-5403
Phone (954) 265-6984

Other names 1

  • Memorial Division of Pediatric Specialty Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

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…

Other NPIs on the same Medicare enrollment 17

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

View all 17

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hospital Divis58 organizations share this tax ID, including this one
Part of
Memorial Hospital Divis

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

9291 Glades Rd
Ste 202
Boca Raton, FL 33434
Phone (954) 265-2234

1131 N 35th Ave
#300
Hollywood, FL 33021

1150 N 35th Ave
#100
Hollywood, FL 33021

1150 N 35th Ave
#205A
Hollywood, FL 33021
Phone (954) 265-7550

1150 N 35th Ave
Ste 270
Hollywood, FL 33021
Phone (954) 265-6468

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

3341 Johnson St
Hollywood, FL 33021
Phone (954) 265-3982

1971 SW 172nd Ave
#500
Miramar, FL 33029

1971 SW 172nd Ave
Ste 800
Miramar, FL 33029
Phone (954) 265-2234

1865 N Corporate Lakes Blvd
Ste 1
Weston, FL 33326
Phone (954) 265-9344

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 694

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 694

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": "1767657600000",
    "number": "1639187180",
    "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": "1150 N 35TH AVE STE 100",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "954-265-2234",
            "fax_number": "954-265-6380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9291 Glades Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334343959",
            "country_code": "US",
            "telephone_number": "954-265-2234",
            "fax_number": "954-893-6300",
            "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",
            "fax_number": "561-784-7098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1865 N Corporate Lakes Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333263273",
            "country_code": "US",
            "telephone_number": "954-265-6984",
            "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": "954-265-2234",
            "fax_number": "954-893-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1971 SW 172nd Ave Ste 2800",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330295622",
            "country_code": "US",
            "telephone_number": "954-265-6984",
            "fax_number": "954-265-6989",
            "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": "1131 N 35th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330215403",
            "country_code": "US",
            "telephone_number": "954-265-6984",
            "fax_number": "954-981-5516",
            "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": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "SURUJON",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "CFO MPG, MPC & UCC",
        "authorized_official_telephone_number": "954-265-6677"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Division of Pediatric Specialty",
            "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 Jan 6, 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.