Organization
NOVA SOUTHEASTERN UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMERY ESTEVEZ (DIR CONTRACTING AND CRED)
(954) 262-4343
Entity
Organization
Contact information
Practice address
7595 SW 33RD ST FL 4, DAVIE, FL 33314-7708
(954) 262-4343
(954) 262-2271
Mailing address
PO BOX 290370, DAVIE, FL 33329-0370
(954) 262-4343
(954) 262-2271
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
207R00000X
Internal Medicine Physician
—
—
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
227900000X
Registered Respiratory Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/17/2013
Last updated
03/26/2024
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