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 (DIR CONTRACTING AND CREDENTIALING)
(954) 262-4343
Entity
Organization
Contact information
Practice address
6100 GRIFFIN RD, DAVIE, FL 33314
(954) 262-7726
(954) 262-3940
Mailing address
3200 S UNIVERSITY DR, SANFORD L. ZIFF BLDG. 3RD FLOOR ROOM 4364-D, FT. LAUDERDALE, FL 33328-2018
(954) 262-4343
(954) 262-2269
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
11/14/2006
Last updated
05/30/2023
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