NOVA SOUTHEASTERN UNIVERSITY INC NPI 1811288012

NPI Information

  • NPI: 1811288012
  • Provider Name: NOVA SOUTHEASTERN UNIVERSITY, INC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • CLIA Number: 10D0963534
  • Address: 7600 SW 36TH STREET
    BLDG. # 100 ROOM 1263
    DAVIE, FL
    ZIP 33328
  • Phone: (954) 262-7127

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NPI Details

NOVA SOUTHEASTERN UNIVERSITY, INC is a general practice dentist in Davie, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. NOVA SOUTHEASTERN UNIVERSITY, INC NPI is 1811288012. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7600 SW 36TH STREET
BLDG. # 100 ROOM 1263
DAVIE, FL
ZIP 33328-902
Phone: (954) 262-7127
Fax: (954) 262-3937

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

The CLIA number assigned to this NPI record is 10D0963534 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/22/2011 and was last updated on 6/11/2025.

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
1101YM0800XCounselorMental HealthNo
2106H00000XMarriage & Family TherapistNo
31223P0221XDentistPediatric DentistryNo
41223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
5133N00000XNutritionistNo
6133VN1004XDietitian, RegisteredNutrition, PediatricNo
7208000000XPediatricsNo
8225100000XPhysical TherapistNo
92251P0200XPhysical TherapistPediatricsNo
10225X00000XOccupational TherapistNo
11235Z00000XSpeech-Language PathologistNo
12261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
131223G0001XDentistGeneral PracticeYes

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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