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Organization

NOVA SOUTHEASTERN UNIVERSITY, INC

Active
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Organization

NOVA SOUTHEASTERN UNIVERSITY, INC

Active
Parent organization
NOVA SOUTHEASTERN UNIVERSITY, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
NOVA SOUTHEASTERN UNIVERSITY, INC
Authorized official
ROSEMERY ESTEVEZ (DIR CONTRACTING AND CREDENTIALING)
(954) 262-4343
Entity
Organization

Contact information

Practice address
6100 GRIFFIN RD, DAVIE, FL 33314
(954) 262-7726
(954) 262-3940
Mailing address
3200 S UNIVERSITY DR, SANFORD L. ZIFF BLDG. 3RD FLOOR ROOM 4364-D, FT. LAUDERDALE, FL 33328-2018
(954) 262-4343
(954) 262-2269

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—

Other

Enumeration date
11/14/2006
Last updated
05/30/2023
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