NOVA SOUTHEASTERN UNIVERSITY INC NPI 1770722282

NPI Information

NPI: 1770722282
Provider Name: NOVA SOUTHEASTERN UNIVERSITY, INC
Classification: Clinic/Center - 261QR0401X
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Entity Type: Organization
Address: 3301 COLLEGE AVE
ROOM 1441 - UNIVERSITY CENTER
DAVIE, FL
ZIP 33314
Phone: (954) 262-4100

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NPI Details

NOVA SOUTHEASTERN UNIVERSITY, INC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Davie, FL. NOVA SOUTHEASTERN UNIVERSITY, INC NPI is 1770722282. 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
ROOM 1441 - UNIVERSITY CENTER
DAVIE, FL
ZIP 33314
Phone: (954) 262-4100
Fax: (954) 262-1788

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

The enumeration date for this NPI number is 2/9/2009 and was last updated on 5/17/2018.

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	Primary
1	225100000X	Physical Therapist		No
2	225X00000X	Occupational Therapist		No
3	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	Yes

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
1	886463200	MEDICAID	FLORIDA

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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