Organization
South Broward Hospital District
Provider's NPPES record last updated: May 21, 2025
Overview
- Entity Type
- Organization
- NPI
- 1306177589
- Primary Specialty
- Surgery — Pediatric Surgery
- Practice Location
- Hollywood, Florida
- Organization Subpart
- Yes
- Parent Organization
- South Broward Hospital District
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 1:47 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Surgery
Pediatric Surgery
Allopathic & Osteopathic Physicians
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Taxonomy code 2086S0120X
Provider-Reported License Information
- Surgery (Florida)
- 48741
Practice Locations
Practice Location
1150 N 35th Ave
Suite 555
Hollywood, Florida 33021-5424
Phone: (954) 265-0072
Additional Practice Location
20803 Biscayne Blvd Ste 204-a
Aventura, Florida 33180-1469
Phone: (954) 265-0072
Fax: (954) 981-0188
Additional Practice Location
5830 Coral Ridge Dr Ste 140
Coral Springs, Florida 33076-3388
Phone: (954) 265-0072
Fax: (954) 981-0188
Additional Practice Location
3377 N State Rd 7 Suite 100
Wellington, Florida 33449-8082
Phone: (954) 265-0072
Fax: (954) 981-0188
Additional Practice Location
1865 N Corporate Lakes Blvd Ste 1
Weston, Florida 33326-3273
Phone: (954) 265-0072
Fax: (954) 981-0188
Additional Practice Location
1971 Sw 172nd Ave Ste 2500
Miramar, Florida 33029-5621
Phone: (954) 265-0072
Fax: (954) 981-0188
Other Names
- Memorial Division of Pediatric General SurgeryReported August 30, 2023
Record Information
- Enumeration Date
- January 27, 2010
- Provider's NPPES Record Last Updated
- May 21, 2025
- Certification Date
- May 21, 2025
- NPISignal NPPES Dataset
- August 2026
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