NOVA SOUTHEASTERN UNIVERSITY, INC (NPI# 1558799809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558799809 |
| Entity Type | Organization |
| Organization Name | NOVA SOUTHEASTERN UNIVERSITY, INC |
| Practice Address |
3321 College Ave 4th Floor Suite 490 Davie FL 33314-7705 |
| Mailing Address |
Po Box 290370 Davie FL 33329-0370 |
| Practice Telephone | 9542622866 |
| Practice Fax Number | 9542623850 |
| Mailing Telephone | 9542624343 |
| Mailing Fax Number | 9542622269 |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2016-07-27 |
| Authorized Official Name | ROBERT OLLER (DIRECTOR OF FINANCE/CFO) |
| Authorized Official Telephone | 9542624399 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
3321 COLLEGE AVE 4TH FLOOR SUITE 490 |
| City | DAVIE |
| State | FL |
| Zip Code | 33314-7705 |
| 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 | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922581750 | Nova Southeasten University, Inc | Clinical Medical Laboratory | 3321 College Ave Ste 407, Davie, FL 33314-7705 | 2018-09-07 |
| 1366957037 | Insight Lab Services, LLC | Clinical Medical Laboratory | 4111 Sw 47th Ave Ste 335, Davie, FL 33314-4039 | 2017-12-04 |
| 1588066278 | Asap Lab, LLC | Clinical Medical Laboratory | 4350 Oakes Rd Ste 513, Davie, FL 33314-2223 | 2014-09-24 |
| 1336497072 | Synergy Diagnostic Laboratory Inc | Clinical Medical Laboratory | 4081 Sw 47th Ave, Suite 2, Davie, FL 33314-4008 | 2012-08-28 |
| 1295035616 | Coagtesting | Clinical Medical Laboratory | 3200 Palm Trace Landings Dr Apt 916, Davie, FL 33314-6803 | 2010-11-02 |
| 1851536973 | Elite Diagnostic Laboratories, LLC | Clinical Medical Laboratory | 4111 Sw 47 Th Ave, Suite 331, Davie, FL 33314-4026 | 2008-12-03 |
| 1518071869 | World Diagnostics Laboratory | Clinical Medical Laboratory | 4111 Sw 47th Ave, Suite 331, Davie, FL 33314-4026 | 2006-08-17 |
| 1083061261 | Scion Lab Services, LLC | Clinical Medical Laboratory | 4111 Sw 47th Ave, Unit 333, Davie, FL 33314-4026 | 2016-05-18 |
| 1881083467 | Concise Diagnostics Corp | Clinical Medical Laboratory | 5400 S University Dr, 305c, Davie, FL 33328-5312 | 2015-01-20 |
| 1053756676 | American Health Associates, Inc | Clinical Medical Laboratory | 15712 Sw 41st St, Suite 16-20, Davie, FL 33331-1538 | 2013-05-09 |
| Find all providers in DAVIE | ||||
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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.