NOVA SOUTHEASTERN UNIVERSITY, INC (NPI# 1669763462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669763462 |
| Entity Type | Organization |
| Organization Name | NOVA SOUTHEASTERN UNIVERSITY, INC |
| Practice Address |
3075 Nw 35th Ave Lauderdale Lakes FL 33311-1107 |
| Mailing Address |
3200 S. University Drive Sanford L. Ziff Bldg. 3rd Floor Room 4364-d Ft. Lauderdale FL 33328-2018 |
| Practice Telephone | 9547396233 |
| Practice Fax Number | 9547339579 |
| Mailing Telephone | 9542624343 |
| Mailing Fax Number | 9542622269 |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-06-17 |
| Authorized Official Name | ROBER S OLLER (CEO CLINICAL OPERATIONS) |
| Authorized Official Telephone | 9542624343 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | Y |
| Parent Organization Name | NOVA SOUTHEASTERN UNIVERSITY, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558799809 | Nova Southeastern University, Inc | Clinical Medical Laboratory | 3321 College Ave, 4th Floor Suite 490, Davie, FL 33314-7705 | 2013-10-24 |
| 1013208800 | Nova Southeastern University, Inc | Dentist | 1050 Ne 125th Street, North Miami Beach, FL 33161-5805 | 2011-04-27 |
| 1194991059 | Nova Southeastern University, Inc | Psychologist | 7600 Sw 36th Street, Ft. Lauderdale, FL 33328-1902 | 2008-05-01 |
| 1881732634 | Nova Southeastern University, Inc | Family Medicine | 1750 Ne 167th Street, North Miami Beach, FL 33162-3017 | 2007-02-02 |
| 1700924511 | Nova Southeastern University, Inc | Technician/Technologist | 650 North Andrews Avenue, Ft. Lauderdale, FL 33311-7436 | 2007-02-02 |
| 1922550003 | Nova Southeastern University, Inc | Occupational Therapist | 3375 Sw 75th Ave, Room 1021, Davie, FL 33314-1400 | 2016-10-25 |
| 1811288012 | Nova Southeastern University, Inc | Dentist | 7600 Sw 36th Street, Bldg. # 100 Room 1263, Davie, FL 33328-1902 | 2011-04-22 |
| 1770722282 | Nova Southeastern University, Inc | Physical Therapist | 3301 College Ave, Room 1441 - University Center, Davie, FL 33314 | 2009-02-09 |
| 1225277650 | Nova Southeastern University, Inc | Optometrist | 1750 Ne 167th Street, North Miami Beach, FL 33162-3017 | 2009-02-09 |
| 1588802169 | Nova Southeastern University, Inc | Optometrist | 3200 S University Drive, Sanford L.ziff Bldg. 2nd Floor, Ft. Lauderdale, FL 33328-2018 | 2009-02-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| 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 |
| Indiana Business Entities | NOVA SOUTHEASTERN UNIVERSITY, INC. | 3301 College Avenue, Fort Lauderdale, FL 33314 |
| Street Address |
3075 NW 35TH AVE |
| City | LAUDERDALE LAKES |
| State | FL |
| Zip Code | 33311-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578559902 | St Johns Rehabilitation Hospital and Nursing Center Inc | Nursing Facility/Intermediate Care Facility | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2005-09-21 |
| 1851820922 | Mirza Medical Pa | Internal Medicine | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2017-06-12 |
| 1578823886 | Herbert Goldwire Pa | Nurse Practitioner | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2012-05-21 |
| 1548545601 | Practitioner Medical Services Inc | Clinic/Center | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2011-10-19 |
| 1841521002 | Marie Michelle Carner | Nurse Practitioner | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2010-01-27 |
| 1811923352 | Clinton Jules | Specialist | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2006-06-25 |
| 1184679318 | Catholic Home Health Services of Broward Inc | Home Health | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390336 | Rosenie B Jasmin | Family Medicine | Dove Medical Centers, LLC, 2901 West Oakland Park Blvd Ste A4-5, Oakland Park, FL 33311 | 2020-06-09 |
| 1942769534 | Cbd Skeletal Solutions, LLC | Durable Medical Equipment & Medical Supplies | 630 Tennis Club Drive, Outerbridge - 407, Ft. Lauderdale, FL 33311 | 2019-03-14 |
| 1770049116 | Jordan Matthew Nodelman | Social Worker | 871 W Oakland Park Boulevard, Oakland Park, FL 33311 | 2019-02-11 |
| 1417422304 | Carebridge Home Health of Flrorida | Home Health | 1871 West Oakland Park Blvd, Suite E, Oakland Park, FL 33311 | 2018-10-08 |
| 1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
| 1477047058 | Latino Medical Center IIi | General Practice | 3670 W Oakland Blvd, Lauderdale Lakes, FL 33311 | 2018-06-18 |
| 1316442049 | Anita Fox | Non-emergency Medical Transport (VAN) | 2880 West Oakland Park Blvd, 234, Oakland Park, FL 33311 | 2018-03-26 |
| 1669995957 | Lola J Lewis-walker | Nurse Practitioner | 925 Nw 14th St, Fort Lauderdale, FL 33311 | 2017-07-19 |
| 1598294936 | Abigail D Garcia | Counselor | 713 Nw 1st Ave, Fort Lauderdale, FL 33311 | 2017-06-08 |
| 1548712524 | Hubert Faustin | Counselor | 1409 Nw 1st Avenue, Fort Lauderdale, FL 33311 | 2016-10-26 |
| Find all providers in zip 33311 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730512781 | Azin Haghighi | Dentist | 4500 N State Road 7 Ste 101, Lauderdale Lakes, FL 33319-5868 | 2013-08-14 |
| 1235427121 | David Eugene, D.d.s, P.l.l.c | Dentist | 2447 N State Road 7, Lauderdale Lakes, FL 33313 | 2011-07-13 |
| 1104034503 | Oakland Dental, LLC | Dentist | 4416 W. Oakland Park Blvd, Lauderdale Lakes, FL 33313 | 2007-05-18 |
| 1902962079 | Maria Consuela Murray | Dentist | 2910 N State Road 7, Lauderdale Lakes, FL 33313-1912 | 2006-12-30 |
| 1740756501 | Lauderdale Dentistry for Kids LLC | Dentist | 4500 N State Road 7 Ste 101, Lauderdale Lakes, FL 33319-5868 | 2018-10-19 |
| 1316174634 | Hector Naranjo | Dentist | 2331 N State Road 7, Lauderdale Lakes, FL 33313-3748 | 2009-06-12 |
| 1942447396 | Acosta Dental Services of Lauderhill P.a | Dentist | 2331 N State Road 7, Suite 109, Lauderdale Lakes, FL 33313-3748 | 2009-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326843 | Stellar Smiles Inc. | Dentist | 1501 Corporate Dr Apt 311, Boynton Beach, FL 33426-6600 | 2020-11-07 |
| 1962003269 | Magic Touch Dentistry, P.a. | Dentist | 2 Oakwood Blvd Ste 150a, Hollywood, FL 33020-1960 | 2020-11-03 |
| 1982203584 | Crystel Ananos Riggs Dmd Pa | Dentist | 900 Se Ocean Blvd Ste 248, Stuart, FL 34994-3501 | 2020-10-23 |
| 1053910315 | Dental Buddies of Vero Beach | Dentist | 3755 7th Ter Ste 303, Vero Beach, FL 32960-6547 | 2020-10-19 |
| 1295332013 | Dentists of Nona, Pa | Dentist | 14019 Narcoossee Rd Ste 135, Orlando, FL 32832-7162 | 2020-10-05 |
| 1073110177 | Coral Springs Dental Group, LLC | Dentist | 2029 N University Dr, Coral Springs, FL 33071-6132 | 2020-10-02 |
| 1316554686 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 15800 Orange Blvd, Loxahatchee, FL 33470-3442 | 2020-09-30 |
| 1861009136 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 5068 W State Road 46, Sanford, FL 32771-9246 | 2020-09-30 |
| 1003423922 | Aurora Dental Group, P.a | Dentist | 6176 Sw 8 Street, Miami, FL 33144 | 2020-09-24 |
| 1063029122 | Steven Gross | Dentist | 2021 Ne 210th St, Miami, FL 33179-1629 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | LAUDERDALE LAKES |
| Zip Code | 33311 |
Please comment or provide details below to improve the information on NOVA SOUTHEASTERN UNIVERSITY, INC.
| 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.