Memorial Division of Pediatric Cardiology – Pediatric Cardiology Physician, NPI 1588153175
Pediatric Cardiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Memorial Division of Pediatric Cardiology
3377 S State Rd 7
Suite 100
Wellington, FL 33449
Phone: (561) 341-7000
Fax: (561) 784-7098
Type: Location
1625 SE 3rd Ave Ste 415A
Ft Lauderdale, FL 333162521
Phone: (954) 463-5437
Fax: (954) 764-1501
Type: Location
3501 Johnson St Fl 1
Hollywood, FL 330215421
Phone: (954) 265-3437
Fax: (954) 265-3731
Type: Location
7755 NW 146th St Ste G-4
Miami Lakes, FL 330161559
Phone: (305) 823-3590
Fax: (305) 823-3591
Type: Location
1222 N University Dr
Plantation, FL 333224724
Phone: (954) 583-0812
Fax: (954) 321-6220
Type: Location
12295 Taft St
Pembroke Pines, FL 330261900
Phone: (954) 447-7774
Fax: (954) 447-7505
Type: Location
3990 Sheridan St Ste 108
Hollywood, FL 330213655
Phone: (954) 447-7774
Fax: (954) 447-7505
Type: Location
1971 SW 172nd Ave Ste 2500
Miramar, FL 330295621
Phone: (954) 265-3437
Fax: (954) 276-3731
Type: Location
345 Jupiter Lakes Blvd Ste 302A302B
Jupiter, FL 334587100
Phone: (561) 844-9858
Fax: (561) 848-2056
Type: Location
5458 Town Center Rd Ste 102
Boca Raton, FL 334861026
Phone: (617) 509-5965
Fax: (561) 750-1534
Type: Location
1850 SW Fountainview Blvd Ste 201
Port St Lucie, FL 349864527
Phone: (724) 680-6647
Fax: (772) 468-0643
Type: Location
1803 S 25th St Ste 5
Fort Pierce, FL 349474747
Phone: (772) 468-0664
Fax: (772) 468-0643
Type: Location
1951 SW 172nd Ave Ste 408
Miramar, FL 330295614
Phone: (305) 682-2690
Fax: (954) 823-3591
Type: Location
5830 Coral Ridge Dr Ste 140
Coral Springs, FL 330763388
Phone: (954) 276-6740
Fax: (954) 385-7758
Type: Location
3801 Hollywood Blvd Ste 350
Hollywood, FL 330216762
Phone: (954) 276-9535
Fax: (954) 447-7506
Type: Location
2900, Corporate Way, Miramar, Broward County, Florida, 33025, United States
DOOR D
MIRAMAR, FL 330253925
Phone: (954) 276-5685
Fax: (954) 985-7074
Type: Mailing
490, North 35th Avenue, West Hollywood, Hollywood, Broward County, Florida, 33021, United States
HOLLYWOOD, FL 33021
Phone: (954) 265-6939
Fax: (954) 265-6405
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-10-24
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-08-31 (653 days ago).
Enrollment records
1
Earliest due date
2024-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20181024001922 | O | Hospital Department(S) | FL | 2024-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33449)
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