Organization
BROWARD CHILDREN'S CENTER
Active
Parent organization
NOVA SOUTHEASTERN UNIVERSITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOVA SOUTHEASTERN UNIVERSITY
Authorized official
ROBERT S. OLLER D.O. (CEO / CLINICAL OPERATIONS)
(954) 262-4343
Entity
Organization
Contact information
Practice address
200 SE 19TH AVE, POMPANO BEACH, FL 33060-7543
(954) 943-7638
(954) 943-5950
Mailing address
3200 S UNIVERSITY DR, ASSEMBLY BLDG # 2 ROOM 202, DAVIE, FL 33328-2018
(954) 262-4343
(954) 262-2269
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
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