NOVA SOUTHEASTERN UNIVERSITY INC. (NPI# 1770533390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770533390 |
| Entity Type | Organization |
| Organization Name | NOVA SOUTHEASTERN UNIVERSITY INC. |
| Practice Address |
3200 S University Drive Sanford L. Ziff Bldg. Ft. Lauderdale FL 33328-2018 |
| Mailing Address |
3200 S University Drive Sanford L. Ziff Bldg. 3rd Floor, Room 4364-d Ft. Lauderdale FL 33328-2018 |
| Practice Telephone | 9542627382 |
| Practice Fax Number | 9542623882 |
| Mailing Telephone | 9542627382 |
| Mailing Fax Number | 9542623882 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2011-06-16 |
| Authorized Official Name | DR. ROBERT OLLER (CEO/CLINICAL OPERATIONS) |
| Authorized Official Telephone | 9542627312 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | TPNU051 | FL | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184137564 | Nova Southeastern University Inc. | Occupational Therapist | 7600 Sw 36th St, Davie, FL 33328-1902 | 2017-11-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | NOVA SOUTHEASTERN UNIVERSITY INC. | 3301 College Ave, Davie, Florida 33314-7721 |
| Street Address |
3200 S UNIVERSITY DRIVE SANFORD L. ZIFF BLDG. |
| City | FT. LAUDERDALE |
| State | FL |
| Zip Code | 33328-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588802169 | Nova Southeastern University, Inc | Optometrist | 3200 S University Drive, Sanford L.ziff Bldg. 2nd Floor, Ft. Lauderdale, FL 33328-2018 | 2009-02-04 |
| 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 | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1497120216 | Jeffrey Disinger | Clinical Medical Laboratory | 6831 Nw 20th Ave, Ste 104, Ft. Lauderdale, FL 33308 | 2015-12-04 |
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| Find all providers with the same taxonomy | ||||
| City | FT. LAUDERDALE |
| Zip Code | 33328 |
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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.