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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 OLLER DO (CHIEF MEDICAL ADVISOR)
(954) 262-4343
Entity
Organization
Contact information
Practice address
3375 SW 75TH AVE, ROOM 1021, DAVIE, FL 33314-1400
(954) 262-4149
(954) 262-1788
Mailing address
3375 SW 75TH AVE, ROOM 1021, DAVIE, FL 33314-1400
(954) 262-4149
(954) 262-1788
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/25/2016
Last updated
12/05/2023
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