OrganizationActive
Nova Southeastern University, Inc
NPI 1659527042 · Oral & Maxillofacial Surgery (D.M.D.) · Ft Lauderdale, FL
Provider details
- NPI number
- 1659527042
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Parent organization
- Nova Southeastern University, Inc
- Organization subpart
- Yes
- Authorized official
- Rosemery Estevez, Dir Contracting and Credentialing(954) 262-4343
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
Practice location
1600 S Andrews Ave
West Wing 3rd Floor
Ft Lauderdale, FL 33316-2510
Phone: (954) 355-5703
Fax: (954) 355-5490
Approximate (ZIP-level) locationGet directions
Mailing address
3200 S University Drive
Ft. Lauderdale, FL 33328-2018
Registry dates
- Enumerated
- 2008-08-18
- Last updated
- 2023-05-30
- Certified
- 2023-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.