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 OF CONTRACTING AND CREDEN)
(954) 262-4343
Entity
Organization
Contact information
Practice address
3301 COLLEGE AVE, UNIVERSITY CENTER ROOM 1433, FT. LAUDERDALE, FL 33314-7721
(954) 262-5590
(954) 262-5570
Mailing address
3200 S UNIVERSITY DR, SANFORD L. ZIFF BLDG, 3RD FLOOR, ROOM 4364-D, FORT LAUDERDALE, FL 33328-2018
(954) 262-4343
(954) 262-1172
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
152W00000X
Optometrist
—
—
171100000X
Acupuncturist
—
—
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98673
MEDICARE GROUP NUMBER
FL
Enumeration date
02/02/2007
Last updated
05/24/2023
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