| Nova Southeastern University, Inc | |
|
1050 Ne 125th Street North Miami Beach FL 33161-5805 | |
| (305) 891-8850 | |
| (305) 891-3361 |
| Full Name | Nova Southeastern University, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1050 Ne 125th Street, North Miami Beach, Florida |
| Authorized Official Name and Position | Robert S Oller (CEO CLINICAL OPERATIONS) |
| Authorized Official Contact | 9542624399 |
| 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 1050 Ne 125th Street North Miami Beach FL 33161-5805 Ph: (305) 891-8850 |
| NPI Number | 1013208800 |
|---|---|
| Provider Enumeration Date | 04/27/2011 |
| Last Update Date | 06/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013208800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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