| Nova Southeastern University, Inc | |
|
7600 Sw 36th Street Bldg. # 100 Room 1263 Davie FL 33328-1902 | |
| (954) 262-7127 | |
| (954) 262-3937 |
| Full Name | Nova Southeastern University, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7600 Sw 36th Street, Davie, 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 7600 Sw 36th Street Bldg. # 100 Room 1263 Davie FL 33328-1902 Ph: (954) 262-7127 |
| NPI Number | 1811288012 |
|---|---|
| Provider Enumeration Date | 04/22/2011 |
| Last Update Date | 06/11/2025 |
| Certification Date | 06/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811288012 | NPI | - | NPPES |
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