Nova Southeastern University, Inc.
NPI #1902119985 in Wilton Manors, Florida
Provider Information
- NPI Number
- 1902119985
- Entity Type
- Organization
- Organization Name
- Nova Southeastern University, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NOVA SOUTHEASTERN UNIVERSITY, INC
- Primary Specialty
- Optometrist
- Enumeration Date
- Jul 20, 2010
- Last Updated
- Jun 24, 2011
Practice Location
- Address
- 819 NE 26TH STREET
- City
- Wilton Manors
- State
- Florida
- ZIP Code
- 33305-1239
- Phone
- (954) 262-1408
Authorized Official
- Name
- DR. ROBERT S OLLER, D.O.
- Title
- CEO/CLINICAL OPERATIONS
- Phone
- (954) 262-4343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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