South Broward Hospital District
NPI 1336504075ActiveOrganization· Psychiatry & Neurology, Child & Adolescent Psychiatry· Hollywood, FL
Psychiatry & Neurology, Child & Adolescent Psychiatry in Hollywood, Florida, registered in NPPES in December 2015, part of South Broward Hospital District. The authorized official on file is Esther Surujon, Cfo Mpg, Mpc And Ucc. Enrolled in Medicare as part b supplier - hospital department(s).
Overview
| NPI | 1336504075 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | South Broward Hospital District |
| NPI issued | Dec 23, 2015 |
| Last updated in NPPES | Jul 14, 2025 |
| Certified by provider | Jul 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Child & Adolescent Psychiatry Primary | 2084P0804X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Hospital Department(S) (FL) |
|---|
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