South Broward Hospital District
NPI 1962706721ActiveOrganization· Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology· Hollywood, FL
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Hollywood, Florida, registered in NPPES in January 2011, part of South Broward Hospital District. The authorized official on file is Esther Surujon, Cfo Memorial Physician Group & Mpc. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962706721 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | South Broward Hospital District |
| NPI issued | Jan 7, 2011 |
| Last updated in NPPES | May 21, 2025 |
| Certified by provider | May 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology Primary | 2084N0402X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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