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Organization
NOVA SOUTHEASTERN UNIVERSITY INC.
Active
Organization
NOVA SOUTHEASTERN UNIVERSITY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT S. OLLER DO (VP CLINICAL OPERATIONS)
(954) 262-4343
Entity
Organization
Contact information
Practice address
7600 SW 36TH ST, DAVIE, FL 33328-1902
(954) 262-4149
(954) 262-1788
Mailing address
PO BOX 290370, DAVIE, FL 33329-0370
(954) 262-4343
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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