NOVA SOUTHEASTERN UNIVERSITY INC. NPI 1720126584

NPI Information

  • NPI: 1720126584
  • Provider Name: NOVA SOUTHEASTERN UNIVERSITY, INC.
  • Classification: Family Medicine - 207QS0010X
  • Specialization: Sports Medicine
  • Entity Type: Organization
  • Address: 3301 COLLEGE AVE
    UNIVERSITY CENTER ROOM 1433
    FT. LAUDERDALE, FL
    ZIP 33314
  • Phone: (954) 262-5590

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NPI Details

NOVA SOUTHEASTERN UNIVERSITY, INC. is a sports medicine family medicine in Ft. Lauderdale, FL. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. NOVA SOUTHEASTERN UNIVERSITY, INC. NPI is 1720126584. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3301 COLLEGE AVE
UNIVERSITY CENTER ROOM 1433
FT. LAUDERDALE, FL
ZIP 33314-721
Phone: (954) 262-5590
Fax: (954) 262-5570

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

The enumeration date for this NPI number is 2/2/2007 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
1133V00000XDietitian, RegisteredNo
2152W00000XOptometristNo
3171100000XAcupuncturistNo
4204D00000XNeuromusculoskeletal Medicine & OMMNo
5225100000XPhysical TherapistNo
6133N00000XNutritionistNo
7103T00000XPsychologistNo
8207QS0010XFamily MedicineSports MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
198673OTHERFLORIDAMEDICARE GROUP NUMBER

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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