NOVA SOUTHEASTERN UNIVERSITY NPI 1336477397

NPI Information

  • NPI: 1336477397
  • Provider Name: NOVA SOUTHEASTERN UNIVERSITY
  • Classification: Internal Medicine - 207RA0201X
  • Specialization: Allergy & Immunology
  • Entity Type: Organization
  • Other Name: NSU - CENTER FOR NEURO IMMUNE DISORDERS
  • CLIA Number: 10D2177637
  • Address: 8501 SW 124TH AVE STE 111
    MIAMI, FL
    ZIP 33183
  • Phone: (305) 275-2601

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NPI Details

NOVA SOUTHEASTERN UNIVERSITY is an allergy and immunology internal medicine in Miami, FL. The provider is an internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. NOVA SOUTHEASTERN UNIVERSITY NPI is 1336477397. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Nsu - Center For Neuro Immune Disorders.

The provider's business location address is:

8501 SW 124TH AVE STE 111
MIAMI, FL
ZIP 33183-631
Phone: (305) 275-2601
Fax: (305) 274-8075

The provider's authorized official is Rosemery Estevez .
The authorized official title is Dir Contracting And Cred and has the following contact phone number (954) 262-4343.

The CLIA number assigned to this NPI record is 10D2177637 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/2/2009 and was last updated on 5/24/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171100000XAcupuncturistNo
2207K00000XAllergy & ImmunologyNo
3207R00000XInternal MedicineNo
4261QM2500XClinic/CenterMedical Specialty680074-3FLORIDANo
5363L00000XNurse PractitionerNo
6207RA0201XInternal MedicineAllergy & ImmunologyYes

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: 11/21/2025

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