NOVA SOUTHEASTERN UNIVERSITY, INC (NPI# 1013208800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013208800 |
| Entity Type | Organization |
| Organization Name | NOVA SOUTHEASTERN UNIVERSITY, INC |
| Practice Address |
1050 Ne 125th Street North Miami Beach FL 33161-5805 |
| Mailing Address |
3200 S. University Drive Sanford L. Ziff Bldg. 3rd Floor Room 4364-d Ft. Lauderdale FL 33328-2018 |
| Practice Telephone | 3058918850 |
| Practice Fax Number | 3058913361 |
| Mailing Telephone | 9542624343 |
| Mailing Fax Number | 9542622269 |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-06-17 |
| Authorized Official Name | ROBERT S OLLER (CEO CLINICAL OPERATIONS) |
| Authorized Official Telephone | 9542624399 |
| 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 |
| 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 |
| 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 |
| Street Address |
1050 NE 125TH STREET |
| City | NORTH MIAMI BEACH |
| State | FL |
| Zip Code | 33161-5805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609365907 | Silvia Maria Sanchez Del Campo | General Practice | 412-436 Ne 125th St, North Miami, FL 33161 | 2018-05-02 |
| 1841718806 | Christina Collier | Student in an Organized Health Care Education/Training Program | 12046 Ne 16th Ave, Apt. 5105, Miami, FL 33161 | 2017-08-30 |
| 1477076768 | Mariline Suit | Assisted Living Facility | 960 Ne 136 Street, North Miami, FL 33161 | 2017-07-19 |
| 1588186910 | Virtuous Care & Staffing, Inc. | In Home Supportive Care | 1525 Ne 136th Street, Miami, FL 33161 | 2017-07-07 |
| 1881043222 | Elitane Rinville | Counselor | 11422 Ne 13 Ave., Miami, FL 33161 | 2016-06-07 |
| 1992183529 | India Bass | Counselor | 12635 Ne Miami Ct, North Miami, FL 33161 | 2015-05-14 |
| 1659775781 | Loralei Ann Magadia Parchejo | Pharmacy Technician | 173 Ne 108th St, Miami Shores, FL 33161 | 2014-10-17 |
| 1912307513 | Louise Marjori Paul | Nurse Practitioner | 1190 N.w. 125th Street, Chen Medical North Miami (125th), North Miami, FL 33161 | 2014-09-02 |
| 1598185860 | Institute of Wholistic Empowerment | Counselor | 1065 Ne 125 Street, Suite 317a, North Miami, FL 33161 | 2014-04-24 |
| 1689095689 | Sandra Batista | Counselor | 11031 Ne 6th Avenue, Miami, FL 33161 | 2013-12-18 |
| Find all providers in zip 33161 | ||||
| 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 |
|---|---|---|---|---|
| 1659939692 | Drubi Dental | Dentist | 18140 Ne 19th Ave, North Miami Beach, FL 33162 | 2019-06-04 |
| 1003193285 | Cecilia De Las Mercedes Salazar | Dentist | 850 Ives Dairy Rd Ste T63, North Miami Beach, FL 33179-2499 | 2011-11-15 |
| 1154607505 | Leung Dental Care, Inc. | Dentist | 16200 Ne 13th Ave, North Miami Beach, FL 33162-4608 | 2011-10-31 |
| 1629357694 | Biscayne Dental Center | Dentist | 14771 Biscayne Blvd., North Miami Beach, FL 33181 | 2011-08-09 |
| 1154573731 | International Dental Services | Dentist | 68 Ne 167th St, Suite B, North Miami Beach, FL 33162-3401 | 2008-10-15 |
| 1740473941 | Mark L Weiss | Dentist | 1660 Ne Miami Gardens Dr, Suite 3, North Miami Beach, FL 33179-4924 | 2007-08-21 |
| 1649472150 | Nury Rodriguez | Dentist | 16459 Ne 27th Ave, North Miami Beach, FL 33160-4052 | 2007-06-05 |
| 1669503751 | Kenneth P. Gibson | Dentist | 1871 Ne 163rd St, North Miami Beach, FL 33162-4805 | 2007-03-08 |
| 1497845697 | Steven Rindley | Dentist | 1205 Ne 163rd St, #: 217, North Miami Beach, FL 33162-4630 | 2006-10-16 |
| 1548270184 | Jose Antonio Villalobos Narvaez | Dentist | 68 Ne 167th St Ste B, North Miami Beach, FL 33162-3401 | 2006-08-08 |
| Find all providers in NORTH MIAMI BEACH | ||||
| City | NORTH MIAMI BEACH |
| Zip Code | 33161 |
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.