NOVA SOUTHEASTERN UNIVERSITY, INC (NPI# 1770722282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770722282 |
| Entity Type | Organization |
| Organization Name | NOVA SOUTHEASTERN UNIVERSITY, INC |
| Practice Address |
3301 College Ave Room 1441 - University Center Davie FL 33314 |
| Mailing Address |
Po Box 290250 Davie FL 33329-0250 |
| Practice Telephone | 9542624100 |
| Practice Fax Number | 9542621788 |
| Mailing Telephone | 9542624100 |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2018-05-17 |
| Authorized Official Name | DR. ROBERT S OLLER (CEO/CLINICAL OOPERATIONS) |
| 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 |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 886463200 | 05 |
| 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 |
| 1669763462 | Nova Southeastern University, Inc | Dentist | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2011-04-27 |
| 1811288012 | Nova Southeastern University, Inc | Dentist | 7600 Sw 36th Street, Bldg. # 100 Room 1263, Davie, FL 33328-1902 | 2011-04-22 |
| 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 |
3301 COLLEGE AVE ROOM 1441 - UNIVERSITY CENTER |
| City | DAVIE |
| State | FL |
| Zip Code | 33314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437122025 | Jack Piermatti | Dentist | 3301 College Ave, Davie, FL 33314-7796 | 2006-02-13 |
| 1023620416 | Madison Disson | Physical Therapist | 3301 College Ave, Davie, FL 33314-7721 | 2020-08-18 |
| 1104437102 | Pallvi Goomer | Student in an Organized Health Care Education/Training Program | 3301 College Ave, Davie, FL 33314-7721 | 2020-08-12 |
| 1801405311 | Beatriz Christina Tejera | Student in an Organized Health Care Education/Training Program | 3301 College Ave, Davie, FL 33314-7721 | 2020-07-30 |
| 1972120046 | Daniel Gable | Student in an Organized Health Care Education/Training Program | 3301 College Ave, Davie, FL 33314-7721 | 2020-07-06 |
| 1891312500 | Erik Slabaugh | Student in an Organized Health Care Education/Training Program | 3301 College Ave, Davie, FL 33314-7721 | 2020-06-29 |
| 1942826979 | Aaron Hacker | Student in an Organized Health Care Education/Training Program | 3301 College Ave, Davie, FL 33314-7721 | 2020-06-25 |
| 1861015695 | Michael Ogene Bazzi | Student in an Organized Health Care Education/Training Program | 3301 College Ave, Davie, FL 33314-7721 | 2020-05-27 |
| 1497383863 | Robin Mata | Student in an Organized Health Care Education/Training Program | 3301 College Ave, Davie, FL 33314-7796 | 2020-03-31 |
| 1437700937 | Marshall Darien Moini | Dentist | 3301 College Ave, Davie, FL 33314-7721 | 2019-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386119949 | Tiffany Allen | Case Manager/Care Coordinator | 6602 Sw 41st Street, Davie, FL 33314 | 2018-10-10 |
| 1053804047 | Shannon Stowe | Specialist/Technologist | 3160 Palm Trace Landings Dr Apt 731, Davie, FL 33314 | 2018-06-13 |
| 1700374238 | Christian D Cameron | Developmental Therapist | 5900 Sw 24th Pl Unit 203, Davie, FL 33314 | 2018-04-30 |
| 1902308836 | Infusion Nurse Experts LLC | Home Health | 4802 Sw 51st Street, Davie, FL 33314 | 2018-03-07 |
| 1134658495 | Luz Arevalo | Behavioral Analyst | 6630 Sw 41 Pl, Davie, FL 33314 | 2017-06-08 |
| 1194253815 | Migdalis Padron | Behavior Technician | 4491 Sw 52nd Ct Apt 8, Fort Lauderdale, FL 33314 | 2017-05-25 |
| 1710240833 | Victor Pabon | Adult Companion | 4828 Sw 47 Lane, Davie, FL 33314 | 2012-06-22 |
| 1437433802 | Laura Maritsa Canciani | Counselor | 6005 Stirling Road #124, Davie, FL 33314 | 2011-10-04 |
| 1770729840 | Therapeeds, Inc. | Occupational Therapist | 5951 Orange Drive, Davie, FL 33314 | 2008-12-19 |
| 1861690851 | Craig Alan Handwerker | Counselor | 4200 Sw 54th Ct, Fort Lauderdale, FL 33314 | 2007-07-11 |
| Find all providers in zip 33314 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
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|---|---|---|---|---|
| 1255960704 | Victoria Garcia | Clinic/Center | 1252 Nw 32nd St, Miami, FL 33142-6143 | 2020-04-06 |
| 1043846454 | Recovery Is Hope, LLC | Clinic/Center | 2512 W Cherry St Apt E, Tampa, FL 33607-3355 | 2020-03-17 |
| 1245750967 | Semper Therapy Center Inc | Clinic/Center | 8500 Sw 8th Street, Suite 224, Miami, FL 33144 | 2017-06-23 |
| 1477089274 | Sardonyx Group Therapy Inc | Clinic/Center | 4320 W Broward Blvd Ste 4, Plantation, FL 33317-3756 | 2017-05-11 |
| 1548637671 | Lilypad Counseling Services | Clinic/Center | 9589 Verona Lakes Blvd, Boynton Beach, FL 33472-2759 | 2015-08-24 |
| 1144619610 | Tnr Staffing, LLC | Clinic/Center | 6141 Lakae Worth Road, Lake Worth, FL 33463-3807 | 2015-01-21 |
| 1144562612 | Jl X Ray Options, Inc | Clinic/Center | 10340 Nw 36th Ct, Miami, FL 33147-1036 | 2013-03-22 |
| 1609122639 | Ariel Perez | Clinic/Center | 4070 Nw 5 St, Miami, FL 33126 | 2012-07-27 |
| 1942572805 | Instituto Medico Del Dolor LLC | Clinic/Center | 717 Ponce De Leon Blvd Ste 218, Coral Gables, FL 33134-2048 | 2012-02-07 |
| 1902174683 | Pulyterapia Spa Corp | Clinic/Center | 9369 Fountainbleau Blvd Apt J108, Miami, FL 33172-5629 | 2011-12-08 |
| 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.