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South Broward Hospital District

NPI 1366785743ActiveOrganization· Surgery, Vascular Surgery· Hollywood, FL

Surgery, Vascular Surgery in Hollywood, Florida, registered in NPPES in April 2013, part of South Broward Hospital District. The authorized official on file is Mario Salceda-Cruz, Coo Memoria Physician Group. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1366785743
StatusActive
Entity typeOrganization (subpart)
Parent organizationSouth Broward Hospital District
NPI issuedApr 3, 2013
Last updated in NPPESJul 10, 2026
Certified by providerJul 10, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Surgery, Vascular Surgery Primary2086S0129X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (FL)

Medicare sources and data years

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