Nova Southeastern University, INC
NPI #1013208800 in North Miami Beach, Florida
Provider Information
- NPI Number
- 1013208800
- Entity Type
- Organization
- Organization Name
- Nova Southeastern University, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NOVA SOUTHEASTERN UNIVERSITY, INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 27, 2011
- Last Updated
- Jun 17, 2011
Practice Location
- Address
- 1050 NE 125TH STREET
- State
- Florida
- ZIP Code
- 33161-5805
- Phone
- (305) 891-8850
Authorized Official
- Name
- ROBERT S OLLER, D.O.
- Title
- CEO CLINICAL OPERATIONS
- Phone
- (954) 262-4399
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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