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Organization
NOVA SOUTHEASTERN UNIVERSITY, INC
Active
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 (DIRECTOR OF CONTRACTING AND CREDEN)
(954) 262-4343
Entity
Organization
Contact information
Practice address
16853 NE 2ND AVE STE S101, NORTH MIAMI BEACH, FL 33162-1776
(954) 262-4100
(954) 262-3993
Mailing address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-4343
(954) 262-2269
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98673C
MEDICARE GROUP NUMBER
—
Enumeration date
02/02/2007
Last updated
02/05/2026
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