Organization
NOVA SOUTHEASTERN UNIVERSITY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSEMERY ESTEVEZ (CONTRACTING AND CREDENTIALING DIREC)
(954) 262-4343
Entity
Organization
Contact information
Practice address
3200 S UNIVERSITY DRIVE, SANFORD L. ZIFF BLDG., FT. LAUDERDALE, FL 33328-2018
(954) 262-7382
(954) 262-3882
Mailing address
3200 S UNIVERSITY DR BLDG 3, DAVIE, FL 33328-2018
(954) 262-4343
(954) 262-3882
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
TPNU051
FL
Other
Enumeration date
05/12/2006
Last updated
05/04/2023
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