Organization
NSU-COLLEGE OF OSTEOPATHIC MEDICAL CENTER AT COVENANT VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMERY ESTEVEZ (DIRECTOR OF CONTRACTING AND CREDEN)
(954) 262-4343
Entity
Organization
Contact information
Practice address
9241 W BROWARD BLVD, PLANTATION, FL 33324-2454
(954) 262-4343
(954) 262-2269
Mailing address
PO BOX 290370, DAVIE, FL 33329-0370
(954) 262-4343
(954) 262-2269
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
08/06/2013
Last updated
05/24/2023
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