OrganizationActive
Nova Southeastern University, Inc
NPI 1093442824 · Oral & Maxillofacial Surgery (D.M.D.) · Ft Lauderdale, FL
Provider details
- NPI number
- 1093442824
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Parent organization
- Nova Souhteastern University, Inc
- Organization subpart
- Yes
- Authorized official
- Rosemery Estevez, Director of Contracting(954) 262-4343
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
Practice location
1625 Se 3rd Ave Ste 802
Ft Lauderdale, FL 33316-2521
Phone: (954) 262-7500
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 290370
Davie, FL 33329-0370
Registry dates
- Enumerated
- 2022-08-02
- Last updated
- 2024-03-27
- Certified
- 2024-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.