NOVA SOUTHEASTERN UNIVERSITY INC. NPI 1760126114

NPI Information

  • NPI: 1760126114
  • Provider Name: NOVA SOUTHEASTERN UNIVERSITY INC.
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Other Name: NOVA SOUTHEASTERN UNIVERSITY, INC
  • CLIA Number: 10D2319207
  • Address: 7595 SW 33RD ST STE 407
    DAVIE, FL
    ZIP 33314
  • Phone: (954) 262-6387

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NPI Details

NOVA SOUTHEASTERN UNIVERSITY INC. is a neurology psychiatry neurology in Davie, FL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. NOVA SOUTHEASTERN UNIVERSITY INC. NPI is 1760126114. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Nova Southeastern University, Inc.

The provider's business location address is:

7595 SW 33RD ST STE 407
DAVIE, FL
ZIP 33314-708
Phone: (954) 262-6387

The provider's authorized official is Rosemery Estevez .
The authorized official title is Contracting Director and has the following contact phone number (786) 262-4343.

The CLIA number assigned to this NPI record is 10D2319207 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/22/2022 and was last updated on 7/26/2022.

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
1103T00000XPsychologistNo
2133N00000XNutritionistNo
3225100000XPhysical TherapistNo
4225X00000XOccupational TherapistNo
5227800000XRespiratory Therapist, CertifiedNo
6235Z00000XSpeech-Language PathologistNo
7363LF0000XNurse PractitionerFamilyNo
82084N0400XPsychiatry & NeurologyNeurologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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