NPI 1093442824

Nova Southeastern University, INC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Ft Lauderdale, FL

Practice location

Address: 1625 SE 3rd Ave STE 802, Ft Lauderdale, FL 33316-2521
Phone: (954) 262-7500
Mailing address: PO Box 290370, Davie, FL 33329-0370

Authorised official

Name: Rosemery Estevez
Title: Director of Contracting
Phone: (954) 262-4343

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Florida →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X

Other Dentist providers in Florida →

Registry record

NPI: 1093442824
Entity type: Organization
NPI issued: 2 Aug 2022
Record last updated: 27 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.