NOVA SOUTHEASTERN UNIVERSITY (NPI# 1336477397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336477397 |
| Entity Type | Organization |
| Organization Name | NOVA SOUTHEASTERN UNIVERSITY |
| Other Organization Name | NSU - CENTER FOR NEURO IMMUNE DISORDERS |
| Practice Address |
8501 Sw 124th Ave Ste 111 Miami FL 33183-4631 |
| Mailing Address |
Po Box 290370 Davie FL 33329-0370 |
| Practice Telephone | 3052752601 |
| Practice Fax Number | 3052748075 |
| Mailing Telephone | 3052752601 |
| Mailing Fax Number | 3052748075 |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2014-03-07 |
| Authorized Official Name | DR. ROBERT S. OLLER (CEO/CLINICAL OPERATIONS) |
| Authorized Official Telephone | 9542624399 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
680074-3 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| NSU - Center for Neuro Immune Disorders | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326386848 | Nova Southeastern University | Internal Medicine | 3424 S University Dr, Suite 3440, Davie, FL 33328-2022 | 2013-01-17 |
| 1366790552 | Nova Southeastern University | Psychologist | 3526 S University Dr, Davie, FL 33328-2002 | 2012-08-21 |
| 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 |
| Indiana Business Entities | NOVA SOUTHEASTERN UNIVERSITY, INC. | 3301 College Avenue, Fort Lauderdale, FL 33314 |
| Street Address |
8501 SW 124TH AVE STE 111 |
| City | MIAMI |
| State | FL |
| Zip Code | 33183-4631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490026 | Katya Barbara Machado | Behavior Technician | 6500 Kendall Lake Dr, Apt 101, Miami, FL 33183 | 2020-09-03 |
| 1922631969 | Kety Garcia Gonzalez | Nurse Practitioner | 13327 Sw 61st Ter, Miami, FL 33183 | 2020-02-18 |
| 1063066850 | Jose Roberto Santamaria Castro | Specialist/Technologist, Other | 5914 Sw 133rd Ct, Miami, FL 33183 | 2019-07-30 |
| 1821655010 | Maidelyn Arencibia | Behavior Technician | 6416sw131st Path Apt 1706, Miami, FL 33183 | 2019-05-22 |
| 1386111672 | Gregory Parker Fisk | Pharmacist | 14030 Sw 74 St, Miami, FL 33183 | 2018-10-25 |
| 1861979106 | Jacqueline Porras | Nurse Practitioner | 8200 Sw 117th Ave Ste 316, Miami, FL 33183 | 2018-07-19 |
| 1447750591 | My Own Therapist Pllc | Clinic/Center | 14202 Sw 62nd St, Miami, FL 33183 | 2018-02-15 |
| 1316455744 | Maibel D Gomez Del Vallin | Behavior Technician | 8730 Sw 133rd Avenue Rd Apt 317, Miami, FL 33183 | 2018-01-19 |
| 1093225906 | Martha D Gonzalez Griego | Behavior Technician | 8500 Sw 133rd Avenue Rd Apt 321, Miami, FL 33183 | 2017-10-05 |
| 1770007353 | Dipsy Trejo Leal | Behavioral Analyst | 13026 Sw 68 Ln, Miami, FL 33183 | 2017-07-26 |
| Find all providers in zip 33183 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1801360995 | Project Access Foundation Inc | Clinic/Center | 3661 S Miami Ave Ste 702, Miami, FL 33133-4214 | 2019-01-11 |
| 1609367309 | Hold The Lines | Clinic/Center | 111 E Flagler St Apt 404, Miami, FL 33131-1107 | 2018-05-29 |
| 1679012561 | Quintero & Kontopoulos, Pllc | Clinic/Center | 3850 Bird Rd Ste 401, Miami, FL 33146-1515 | 2017-02-13 |
| 1912459272 | Endocrine Health and Wellness of South Florida | Clinic/Center | 12060 Sw 129th Ct Ste 205, Miami, FL 33186-4582 | 2016-11-02 |
| 1437597432 | Duviel Irizarry LLC | Clinic/Center | 1717 N Bayshore Dr Ste 230, Miami, FL 33132-1195 | 2013-06-12 |
| 1518296573 | Paule Bazile, LLC | Clinic/Center | 6464 N. Miami Ave, Miami, FL 33150-4520 | 2009-12-21 |
| 1396073714 | Premier Orthopedic & Neurosurgical Group, LLC | Clinic/Center | 9085 Sw 87th Ave Ste 205, Miami, FL 33176-2309 | 2009-11-23 |
| 1285852947 | Chauncey B Witcraft Md PC | Clinic/Center | 310 2nd Ave Sw Ste 105, Miami, OK 74354-6708 | 2007-04-20 |
| 1063502052 | Alpha Medical, Inc. | Clinic/Center | 9280 Sw 72nd St # 102, Miami, FL 33173-3240 | 2006-10-13 |
| 1265452858 | Harris David Shifrin | Clinic/Center | 1211 Nw 16 St, Miami, FL 33136 | 2006-07-19 |
| Find all providers in MIAMI | ||||
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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.