| Nova Souhteastern University, Inc | |
|
3151 College Avenue Maxwell Maltz Building 1st Floor Davie FL 33314 | |
| (954) 262-3030 | |
| Not Available |
| Full Name | Nova Souhteastern University, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3151 College Avenue, Davie, Florida |
| Authorized Official Name and Position | Rosemery Estevez (DIRECTOR OF CONTRACTING) |
| Authorized Official Contact | 9542624343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Souhteastern University, Inc Po Box 290370 Davie FL 33329-0370 Ph: (954) 262-4343 | Nova Souhteastern University, Inc 3151 College Avenue Maxwell Maltz Building 1st Floor Davie FL 33314 Ph: (954) 262-3030 |
| NPI Number | 1083342109 |
|---|---|
| Provider Enumeration Date | 08/09/2022 |
| Last Update Date | 08/11/2022 |
| Certification Date | 08/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083342109 | NPI | - | NPPES |
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