| Nova Southeastern University, Inc | |
|
830 E Oakland Park Blvd Oakland Park FL 33334-2761 | |
| (954) 262-7530 | |
| (954) 568-7749 |
| Full Name | Nova Southeastern University, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 830 E Oakland Park Blvd, Oakland Park, Florida |
| Authorized Official Name and Position | Robert S Oller (CEO CLINICAL OPERATIONS) |
| 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 Dr Sanford L. Ziff Bldg. 3rd Floor Room 4364-d Ft. Lauderdale FL 33328-2018 Ph: (954) 262-4343 | Nova Southeastern University, Inc 830 E Oakland Park Blvd Oakland Park FL 33334-2761 Ph: (954) 262-7530 |
| NPI Number | 1548410947 |
|---|---|
| Provider Enumeration Date | 09/23/2008 |
| Last Update Date | 06/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548410947 | NPI | - | NPPES |
| 000521601 | Medicaid | FL |
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