Nova Southeastern University, INC

NPI #1659527042 in Ft Lauderdale, Florida

Provider Information

NPI Number: 1659527042
Entity Type: Organization
Organization Name: Nova Southeastern University, INC
Subpart: Yes (part of a larger organization)
Parent Organization: NOVA SOUTHEASTERN UNIVERSITY, INC
Primary Specialty: Oral & Maxillofacial Surgery
Enumeration Date: Aug 18, 2008
Last Updated: May 30, 2023

Practice Location

Address: 1600 S ANDREWS AVE
Address 2: WEST WING 3RD FLOOR
City: Ft Lauderdale
State: Florida
ZIP Code: 33316-2510
Phone: (954) 355-5703

Authorized Official

Name: ROSEMERY ESTEVEZ
Title: DIR CONTRACTING AND CREDENTIALING
Phone: (954) 262-4343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Oral & Maxillofacial Surgery	204E00000X	Primary

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Individual Providers

Provider Name	Specialty	City
Leslie Harris Sultan, DDS	Oral & Maxillofacial Surgery	Ft Lauderdale	AI Deep Dive
DR. Robert Chuong, MD, DMD	Oral & Maxillofacial Surgery	St Petersburg	AI Deep Dive
DR. Myles Keith Krieger, M.D.	Oral & Maxillofacial Surgery	Hollywood	AI Deep Dive

Organizations

Provider Name	Specialty	City
Nova Southeastern University, INC Part of Nova Souhteastern University, INC	Oral & Maxillofacial Surgery	Ft Lauderdale	AI Deep Dive
Leslie H Sultan DDS PA	Oral & Maxillofacial Surgery	Ft Lauderdale	AI Deep Dive

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