Organization
NOVA SOUHTEASTERN UNIVERSITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN XANTHOS (EXECUTIVE DIRECTOR)
(954) 262-4100
Entity
Organization
Contact information
Practice address
3050 S. UNIVERSITY DR, 2ND FLOOR, FORT LAUDERDALE, FL 33328
(954) 262-4100
Mailing address
PO BOX 290370, DAVIE, FL 33329-0370
(954) 262-4100
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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