Active NPI
South Broward Hospital District
- Surgery Physician
- Pembroke Pines, FL
National Provider Identifier
1669713673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SOUTH BROWARD HOSPITAL DISTRICT
- Practice address
- 601 N Flamingo Rd Ste 409
Pembroke Pines, FL 33028-1012 - Phone
- (954) 844-4480
- Fax
- (954) 447-5344
- NPI assigned
- Mar 15, 2013
- Organization subpart
- Yes
- Parent organization
- SOUTH BROWARD HOSPITAL DISTRICT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mario Salceda-Cruz
- Title
- Coo Memorial Physician Group
- Phone
- (954) 276-9312
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
601 N Flamingo Rd Ste 409
Pembroke Pines, FL 33028-1012
Mailing address
2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685
Other practice location 1
20801 Biscayne Blvd Ste 203
Aventura, FL 33180-1492
Phone (954) 844-4480
Other practice location 2
8649 NW 186th St
Hialeah, FL 33015-2553
Phone (954) 276-1400
Other practice location 3
20803 Biscayne Blvd Ste 204
Aventura, FL 33180-1429
Phone (954) 844-4480
Other practice location 4
17180 Royal Palm Blvd Ste 1
Weston, FL 33326-2394
Phone (954) 844-1617
Other practice location 5
20801 Biscayne Blvd Ste 200
Aventura, FL 33180-1422
Phone (954) 844-1617
Other practice location 6
12235 Pines Blvd
Pembroke Pines, FL 33026-4119
Phone (954) 265-9520
Other practice location 7
1150 N 35th Ave Ste 670
Hollywood, FL 33021-5435
Phone (954) 265-9520
Other practice location 8
900 Glades Rd Ste 500
Boca Raton, FL 33431-6421
Phone (954) 265-0000
Other practice location 9
601 N Flamingo Rd Ste 411
Pembroke Pines, FL 33028-1012
Phone (305) 682-2580
Other practice location 10
601 N Flamingo Rd Ste 401
Pembroke Pines, FL 33028-1011
Phone (305) 682-2580
Other practice location 11
4651 Sheridan St Ste 350
Hollywood, FL 33021-3425
Phone (954) 276-8559
Other practice location 12
2301 N University Dr Ste 103
Pembroke Pines, FL 33024-3617
Phone (954) 276-1400
Other practice location 13
601 N Flamingo Rd Ste 301
Pembroke Pines, FL 33028-1010
Phone (954) 844-9520
Other practice location 14
1951 SW 172nd Ave Ste 204
Miramar, FL 33029-5613
Phone (954) 538-5470
Other names 1
- Memorial Division of General Surgery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130618000353 | FL | Part B Supplier - Clinic/Group Practice | 8123927373 |
Receives reassigned benefits from 55 practitioners Practice locations: Hollywood, FL; Weston, FL; Pembroke Pines, FL; Miramar, FL; Aventura, FL; Hialeah, FL; Boca Raton, FL |
National Provider Directory
National Provider Directory- Part of
- Memorial Hospital
Locations
20803 Biscayne Blvd
Ste 204
Aventura, FL 33180
Phone (954) 844-4480
12235 Pines Blvd
Pembroke Pines, FL 33026
Phone (954) 265-1125
601 N Flamingo Rd
Ste 411
Pembroke Pines, FL 33028
Phone (954) 265-2750
601 N Flamingo Rd
Ste 401
Pembroke Pnes, FL 33028
Phone (305) 682-2580
Networks
- HealthSun Health Plans Network
Ownership & related parties
All facility ownership & control disclosures 7
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Memorial Hospital Miramar | Hospital | Operational/Managerial Control Other |
Mar 23, 2005 Mar 23, 2005 |
| Memorial Regional Hospital | Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Memorial Rehabilitation Institute | Hospital | Operational/Managerial Control | Jun 1, 2017 |
| Memorial Regional Hospital | Hospital | Operational/Managerial Control Other |
Jan 1, 2016 Jan 1, 2020 |
| Memorial Hospital West | Hospital | Operational/Managerial Control Other |
Feb 18, 2022 Oct 14, 2013 |
| Memorial Hospital Pembroke | Hospital | Operational/Managerial Control Other |
Apr 1, 2020 Apr 1, 2020 |
| Memorial Manor Nursing Home | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 3, 1989 Jun 3, 1989 |
Practitioners & affiliated clinicians
Practitioners 55
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Colon & Rectal Surgery Physician
- Pembroke Pines, FL
- NPI 1811150204
Colon & Rectal Surgery, FL
-
- Family Nurse Practitioner
- Pembroke Pines, FL
- NPI 1639851975
FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783641600000",
"number": "1669713673",
"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": "601 N FLAMINGO RD STE 409",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281012",
"telephone_number": "954-844-4480",
"fax_number": "954-447-5344"
}
],
"practiceLocations": [
{
"address_1": "20801 Biscayne Blvd Ste 203",
"address_purpose": "LOCATION",
"city": "Aventura",
"state": "FL",
"postal_code": "331801492",
"country_code": "US",
"telephone_number": "954-844-4480",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8649 NW 186th St",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330152553",
"country_code": "US",
"telephone_number": "954-276-1400",
"fax_number": "954-322-8115",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20803 Biscayne Blvd Ste 204",
"address_purpose": "LOCATION",
"city": "Aventura",
"state": "FL",
"postal_code": "331801429",
"country_code": "US",
"telephone_number": "954-844-4480",
"fax_number": "954-447-5344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17180 Royal Palm Blvd Ste 1",
"address_purpose": "LOCATION",
"city": "Weston",
"state": "FL",
"postal_code": "333262394",
"country_code": "US",
"telephone_number": "954-844-1617",
"fax_number": "954-450-8584",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20801 Biscayne Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Aventura",
"state": "FL",
"postal_code": "331801422",
"country_code": "US",
"telephone_number": "954-844-1617",
"fax_number": "954-276-0584",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12235 Pines Blvd",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330264119",
"country_code": "US",
"telephone_number": "954-265-9520",
"fax_number": "954-265-9546",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1150 N 35th Ave Ste 670",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330215435",
"country_code": "US",
"telephone_number": "954-265-9520",
"fax_number": "954-265-9546",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 Glades Rd Ste 500",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334316421",
"country_code": "US",
"telephone_number": "954-265-0000",
"fax_number": "954-893-6347",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 N Flamingo Rd Ste 411",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330281012",
"country_code": "US",
"telephone_number": "305-682-2580",
"fax_number": "305-705-1677",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 N Flamingo Rd Ste 401",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330281011",
"country_code": "US",
"telephone_number": "305-682-2580",
"fax_number": "305-705-1677",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4651 Sheridan St Ste 350",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330213425",
"country_code": "US",
"telephone_number": "954-276-8559",
"fax_number": "954-966-9762",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2301 N University Dr Ste 103",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330243617",
"country_code": "US",
"telephone_number": "954-276-1400",
"fax_number": "954-322-8115",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 N Flamingo Rd Ste 301",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330281010",
"country_code": "US",
"telephone_number": "954-844-9520",
"fax_number": "954-844-9525",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1951 SW 172nd Ave Ste 204",
"address_purpose": "LOCATION",
"city": "Miramar",
"state": "FL",
"postal_code": "330295613",
"country_code": "US",
"telephone_number": "954-538-5470",
"fax_number": "954-538-5477",
"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": "2013-03-15",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A",
"authorized_official_last_name": "SALCEDA-CRUZ",
"authorized_official_first_name": "MARIO",
"authorized_official_title_or_position": "COO MEMORIAL PHYSICIAN GROUP",
"authorized_official_telephone_number": "954-276-9312"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Memorial Division of General Surgery",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Memorial Division of General Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pembroke Pines, FL
- South Broward Hospital District
- South Broward Hospital District
- South Broward Hospital District
- South Broward Hospital District
- South Broward Hospital District
- South Broward Hospital District
- South Broward Hospital District
- South Broward Hospital District
- South Broward Kidney Assosciates PA
- South Broward Medical Management, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.