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Organization

NOVA SOUTHEASTERN UNIVERSITY, INC

Active
Parent organization
NOVA SOUHTEASTERN UNIVERSITY, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
NOVA SOUHTEASTERN UNIVERSITY, INC
Authorized official
JOHN XANTHOS (EXECUTIVE DIRECTOR OF FINANCE)
(954) 262-4823
Entity
Organization

Contact information

Practice address
2307 W BROWARD BLVD STE 200, FORT LAUDERDALE, FL 33312-1420
(954) 262-4200
(954) 262-2269
Mailing address
PO BOX 290370, FORT LAUDERDALE, FL 33329-0370
(954) 262-4200
(954) 262-2269

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
01/26/2026
Last updated
01/26/2026
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