Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Memorial Division of Pediatric Otolaryngology

Organization Physician Assistant · NPI 1053657650

Memorial Division of Pediatric Otolaryngology provides Physician Assistant services in Hollywood, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012

Practice location Address checks out

1150 N 35th Ave Ste 490
Hollywood, FL 33021-5424 Not confirmed with CMS for 13 years — call before visiting
Phone: (954) 265-1616
Fax: (954) 893-6325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9106938 (FL)

Record details

NPI number1053657650
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Ostrower — Otolaryngologist · (954) 265-1616
NPI enumeratedDecember 31, 2012
Last updated in NPPESDecember 31, 2012
Mailing address1150 N 35th Ave, Suite 490, Hollywood, FL 33021-5424

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