Nova Southeastern University, INC

NPI #1093442824 in Ft Lauderdale, Florida

Provider Information

NPI Number
1093442824
Entity Type
Organization
Organization Name
Nova Southeastern University, INC
Subpart
Yes (part of a larger organization)
Parent Organization
NOVA SOUHTEASTERN UNIVERSITY, INC
Primary Specialty
Oral & Maxillofacial Surgery
Enumeration Date
Aug 2, 2022
Last Updated
Mar 27, 2024

Practice Location

Address
1625 SE 3RD AVE STE 802
State
Florida
ZIP Code
33316-2521
Phone
(954) 262-7500

Authorized Official

Name
ROSEMERY ESTEVEZ
Title
DIRECTOR OF CONTRACTING
Phone
(954) 262-4343

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery
Oral & Maxillofacial Surgery

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