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NSU-COLLEGE OF OSTEOPATHIC MEDICAL CENTER AT COVENANT VILLAGE NPI 1093147670


NPI Information

NPI: 1093147670
Provider Name: NSU-COLLEGE OF OSTEOPATHIC MEDICAL CENTER AT COVENANT VILLAGE
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
9241 W BROWARD BLVD
PLANTATION, FL
ZIP 33324
Phone: (954) 262-4343
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NSU-COLLEGE OF OSTEOPATHIC MEDICAL CENTER AT COVENANT VILLAGE is a geriatric medicine family medicine in Plantation, FL. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. NSU-COLLEGE OF OSTEOPATHIC MEDICAL CENTER AT COVENANT VILLAGE NPI is 1093147670. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9241 W BROWARD BLVD
PLANTATION, FL
ZIP 33324-454
Phone: (954) 262-4343
Fax: (954) 262-2269

The provider's authorized official is Robert S Oller .
The authorized official title is Ceo/clinical Operations and has the following contact phone number (954) 262-4343.

The enumeration date for this NPI number is 8/6/2013 and was last updated on 6/30/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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