| Nova Southeastern University, Inc | |
|
1600 S Andrews Ave West Wing 3rd Floor Ft Lauderdale FL 33316-2510 | |
| (954) 355-5703 | |
| (954) 355-5490 |
| Full Name | Nova Southeastern University, Inc |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 1600 S Andrews Ave, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Rosemery Estevez (DIR CONTRACTING AND CREDENTIALING) |
| Authorized Official Contact | 9542624343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Southeastern University, Inc 3200 S University Drive Sanford L. Ziff Bldg. 3rd Floor, Room 4364-d Ft. Lauderdale FL 33328-2018 Ph: (954) 262-4343 | Nova Southeastern University, Inc 1600 S Andrews Ave West Wing 3rd Floor Ft Lauderdale FL 33316-2510 Ph: (954) 355-5703 |
| NPI Number | 1659527042 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 05/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659527042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Primary |
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