Nova Southeastern University, INC

NPI #1922603422 in Davie, Florida

Provider Information

NPI Number: 1922603422
Entity Type: Organization
Organization Name: Nova Southeastern University, INC
Primary Specialty: Family Medicine
Enumeration Date: Dec 2, 2020
Last Updated: Dec 2, 2020

Practice Location

Address: 3625 COLLEGE AVE STE 135
City: Davie
State: Florida
ZIP Code: 33314-7724
Phone: (954) 262-4100

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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