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Organization
NOVA SOUTHEASTERN UNIVERSITY, INC
Active
Organization
NOVA SOUTHEASTERN UNIVERSITY, INC
Active
Parent organization
NOVA SOUHTEASTERN UNIVERSITY, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOVA SOUHTEASTERN UNIVERSITY, INC
Authorized official
JULISSA LAZALA (DIRECTOR OF REVENUE CYCLE)
(954) 262-4946
Entity
Organization
Contact information
Practice address
2307 W BROWARD BLVD STE 200, FORT LAUDERDALE, FL 33312-1420
(954) 262-4200
(954) 262-2269
Mailing address
PO BOX 290370, FORT LAUDERDALE, FL 33329-0370
(954) 262-4200
(954) 262-2269
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/26/2026
Last updated
10/06/2026
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