NOVA SOUTHEASTERN UNIVERSITY INC NPI 1447345517

NPI Information

  • NPI: 1447345517
  • Provider Name: NOVA SOUTHEASTERN UNIVERSITY, INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 10D0955537
  • Address: 3200 S UNIVERSITY DR
    DAVIE, FL
    ZIP 33328
  • Phone: (954) 262-4100

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NPI Details

NOVA SOUTHEASTERN UNIVERSITY, INC is a family medicine in Davie, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NOVA SOUTHEASTERN UNIVERSITY, INC NPI is 1447345517. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3200 S UNIVERSITY DR
DAVIE, FL
ZIP 33328-018
Phone: (954) 262-4100
Fax: (954) 262-2271

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

The CLIA number assigned to this NPI record is 10D0955537 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/4/2006 and was last updated on 6/13/2023.

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
1133N00000XNutritionistNo
2133V00000XDietitian, RegisteredNo
3204D00000XNeuromusculoskeletal Medicine & OMMNo
4207N00000XDermatologyNo
5207QS0010XFamily MedicineSports MedicineNo
6207R00000XInternal MedicineNo
7207RA0201XInternal MedicineAllergy & ImmunologyNo
8207RG0300XInternal MedicineGeriatric MedicineNo
9207RR0500XInternal MedicineRheumatologyNo
10207V00000XObstetrics & GynecologyNo
11208000000XPediatricsNo
122085R0202XRadiologyDiagnostic RadiologyNo
13225X00000XOccupational TherapistNo
14363L00000XNurse PractitionerNo
15207Q00000XFamily 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: 3/30/2025

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