NPIMap

Organization Active NPI

South Broward Hospital District

Doing business as Memorial Division of Rehabilitative Medicine

  • Physical Medicine & Rehabilitation Physician
  • Hollywood, FL
National Provider Identifier
1750726378
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME59686 Issued in ZZ
Legal business name
SOUTH BROWARD HOSPITAL DISTRICT
Doing business as
Memorial Division of Rehabilitative Medicine
Practice address
3702 Washington St Ste 303
Hollywood, FL 33021-8287
Phone
(954) 518-2424
Fax
(954) 981-3476
NPI assigned
May 9, 2013
Last updated
Jul 10, 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 Jul 10, 2026

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

Authorized official

Name
Mario Salceda
Title
Administrator
Phone
(954) 276-5598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME59686 ZZ Primary

Addresses

Primary practice location

3702 Washington St Ste 303
Hollywood, FL 33021-8287

Mailing address

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

Other practice location 1

603 N Flamingo Rd Ste 255
Pembroke Pines, FL 33028-1013
Phone (954) 276-9312

Other practice location 2

601 N Flamingo Rd Ste 301
Pembroke Pines, FL 33028-1010
Phone (954) 518-2424

Other names 1

  • Memorial Division of Rehabilitative Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131126001497 FL Part B Supplier - Clinic/Group Practice 8123927373 Receives reassigned benefits from 34 practitioners
Practice locations: Hollywood, FL; Pembroke Pines, FL

National Provider Directory

National Provider Directory
Tax ID family
Amy R Fendrich MD58 organizations share this tax ID, including this one
Part of
Amy R Fendrich MD

Organizations with this tax ID in the same state 21

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

View all 21

Locations

3600 Washington St
Ste 2005
Hollywood, FL 33021
Phone (954) 518-2424

3600 Washington St
Ste 2500
Hollywood, FL 33021

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5663

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.

FacilityTypeRoleSince
Memorial Hospital MiramarMiramar, FL, CCN 100285 Hospital Operational/Managerial Control
Other		 Mar 23, 2005
Mar 23, 2005
Memorial Regional HospitalHollywood, FL, CCN 100038 Hospital Operational/Managerial Control Jul 1, 1966
Memorial Rehabilitation InstituteHollywood, FL, CCN 10T038 Hospital Operational/Managerial Control Jun 1, 2017
Memorial Regional HospitalHollywood, FL, CCN 10S038 Hospital Operational/Managerial Control
Other		 Jan 1, 2016
Jan 1, 2020
Memorial Hospital WestPembroke Pines, FL, CCN 100281 Hospital Operational/Managerial Control
Other		 Feb 18, 2022
Oct 14, 2013
Memorial Hospital PembrokePembroke Pines, FL, CCN 100230 Hospital Operational/Managerial Control
Other		 Apr 1, 2020
Apr 1, 2020
Memorial Manor Nursing HomePembroke Pines, FL, CCN 105668 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jun 3, 1989
Jun 3, 1989

Practitioners & affiliated clinicians

Practitioners 34

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 34

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1750726378",
    "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": "3702 WASHINGTON ST STE 303",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218287",
            "telephone_number": "954-518-2424",
            "fax_number": "954-981-3476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 N Flamingo Rd Ste 255",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330281013",
            "country_code": "US",
            "telephone_number": "954-276-9312",
            "fax_number": "954-276-9312",
            "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": "954-518-2424",
            "fax_number": "954-981-3476",
            "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": "2013-05-09",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "SALCEDA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-276-5598"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "ZZ",
            "license": "ME59686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Division of Rehabilitative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.