NOVA SOUTHEASTERN UNIVERSITY (NPI# 1326386848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326386848 |
| Entity Type | Organization |
| Organization Name | NOVA SOUTHEASTERN UNIVERSITY |
| Practice Address |
3424 S University Dr Suite 3440 Davie FL 33328-2022 |
| Mailing Address |
Po Box 290250 Davie FL 33329-0250 |
| Practice Telephone | 9542624100 |
| Practice Fax Number | 9542622271 |
| Mailing Telephone | 9542624100 |
| Mailing Fax Number | 9542622271 |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |
| Authorized Official Name | DR. ROBERT S OLLER (CEO, DIVISION OF CLINICAL OPERATION) |
| Authorized Official Telephone | 9542624399 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366790552 | Nova Southeastern University | Psychologist | 3526 S University Dr, Davie, FL 33328-2002 | 2012-08-21 |
| 1336477397 | Nova Southeastern University | Clinic/Center | 8501 Sw 124th Ave Ste 111, Miami, FL 33183-4631 | 2009-12-02 |
| 1275878241 | Nova Southeastern University | Dentist | 819 Ne 26th St, Wilton Manors, FL 33305-1239 | 2012-12-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | NOVA SOUTHEASTERN UNIVERSITY INC. | 3301 College Ave, Davie, Florida 33314-7721 |
| System for Award Management (SAM) Entities | NOVA SOUTHEASTERN UNIVERSITY, INC. | 3301 College Ave, Fort Lauderdale, FL 33314-7721 |
| Colorado Business Entities | NOVA SOUTHEASTERN UNIVERSITY, INC. | Nova Southeastern University, 3301 College Ave - Licensure, Fort Lauderdale, FL 33314 |
| Iowa Business Entities | NOVA SOUTHEASTERN UNIVERSITY, INC. | 3301 College Ave, Ft Lauderdale, FL 33314 |
| Oregon Corporations, Companies and Business Names | NOVA SOUTHEASTERN UNIVERSITY, INC. | 3301 College Ave, Fort Lauderdale, FL 33314 |
| Vermont Business Registrations | NOVA SOUTHEASTERN UNIVERSITY, INC. | 3301 College Avenue, Ft. Lauderdale, FL 33314 |
| Street Address |
3424 S UNIVERSITY DR SUITE 3440 |
| City | DAVIE |
| State | FL |
| Zip Code | 33328-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306496708 | Venise Jacqueslouis | Behavior Technician | 8001 We 36th St, Suite 9, Davie, FL 33328 | 2019-09-17 |
| 1134780539 | 1st Nursing Care Services | Registered Nurse | 10335 Sw 50th Ct, Cooper City, FL 33328 | 2019-06-26 |
| 1023572245 | Rezan Tewolde | Pharmacist | 37772 Churchill Downs Drive, Davie, FL 33328 | 2019-01-23 |
| 1497237820 | Yasmeen Dahsheh | Behavior Technician | 8001 Sw 36th Street Suite #9, Davie, FL 33328 | 2018-09-01 |
| 1831686948 | Kristal Arias | Behavior Technician | 8001 Sw 36th Street, Suite #9, Davie, FL 33328 | 2018-04-16 |
| 1952810384 | April R Hardy | Behavior Technician | 8001 Sw 36 Street Suite 9, Davie, FL 33328 | 2017-09-28 |
| 1609391556 | Courtney M Talbert | Behavior Technician | 8001 Sw 36 St, Suite 9, Davie, FL 33328 | 2017-08-11 |
| 1639619349 | Remya Mathew | General Acute Care Hospital | 10030 Grove Ln, Cooper City, FL 33328 | 2017-02-28 |
| 1184161945 | Elizabeth Stabinski | Marriage & Family Therapist | 4900 South University Drive, Suite 200d, Davie, FL 33328 | 2017-01-31 |
| 1285097659 | Pandolfi Counseling Associates, Inc. | Social Worker | 5291 Sw 89th Ave, Cooper City, FL 33328 | 2016-04-01 |
| Find all providers in zip 33328 | ||||
| Taxonomy Code | 207RA0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Allergy & Immunology |
| An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215181524 | D.t. Griffith, M.d. LLC | Internal Medicine | 874 S Parsons Ave, Brandon, FL 33511-6007 | 2008-11-13 |
| 1346299005 | Asthma Allergy Care Center Pl | Internal Medicine | 1301, S. International Parkway, Suite 1011, Lake Mary, FL 32746-1410 | 2006-05-09 |
| 1043293335 | Patrick J Klemawesch | Internal Medicine | 6294 - 1st Ave N, Allergy Associates, St. Petersburg, FL 33710 | 2005-11-21 |
| 1083695092 | Lizette Sonia Hernandez | Internal Medicine | 3709 W Hamilton Ave, Suite 1, Tampa, FL 33614-4015 | 2005-11-07 |
| 1710373758 | Jacqueline Squire | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2015-04-07 |
| 1104245174 | Tara Vinyette Saco | Internal Medicine | 3570 S Tuttle Ave, Sarasota, FL 34239-6405 | 2014-04-07 |
| 1134419310 | Emma Westermann-clark | Internal Medicine | 801 6th St S, St Petersburg, FL 33701 | 2011-04-08 |
| 1134428691 | Neil Umeshbhai Parikh | Internal Medicine | 733 S Goldenrod Rd Ste A, Orlando, FL 32822-8100 | 2011-03-23 |
| 1730496076 | Vanessa Yohana Cavero Chavez | Internal Medicine | 1600 Sw Archer Rd # 100296, Gainesville, FL 32610-2006 | 2010-09-08 |
| 1336392547 | Nisha S Patel | Internal Medicine | 2605 W Swann Ave Ste 600, Tampa, FL 33609-4044 | 2008-10-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.