NPIMap

Organization Active NPI

Nova Southeastern University Inc.

  • Clinical Medical Laboratory
  • Fort Lauderdale, FL
National Provider Identifier
1770533390
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
TPNU051 Issued in FL
Legal business name
NOVA SOUTHEASTERN UNIVERSITY INC.
Practice address
3200 S University Drive
Sanford L. Ziff BLDG.
Ft. Lauderdale, FL 33328-2018
Phone
(954) 262-7382
Fax
(954) 262-3882
NPI assigned
May 12, 2006
Last updated
Nov 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julissa Lazala
Title
Director of Revenue Cycle
Phone
(954) 262-4946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X TPNU051 FL Primary

Addresses

Primary practice location

3200 S University Drive
Sanford L. Ziff BLDG.
Ft. Lauderdale, FL 33328-2018

Mailing address

PO Box 290370
Davie, FL 33329-0370
Phone (954) 262-4343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031118000987 FL Part B Supplier - Clinic/Group Practice 4486568896 Receives reassigned benefits from 259 practitioners
23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Davie, FL; Wilton Manors, FL; Sunrise, FL; Plantation, FL; North Miami Beach, FL; Miami, FL; Ft Lauderdale, FL; Fort Lauderdale, FL
O20101210000810 FL Part B Supplier - Independent Clinical Laboratory 4486568896 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Davie, FL

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 23

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0871493Nova Southeastern University Health Care Center3200 S University Drive Sandford Ziff, Fort Lauderdale, FL 33328Provider-performed microscopyDec 26, 2027
10D0963534Nova Southeastern University Clinic Pharmacy3200 South University Drive, Fort Lauderdale, FL 33328Certificate of waiverAug 1, 2027
10D0992924Nova Southeastern University -3200 South University Drive - Ziff BLDG,, Fort Lauderdale, FL 33328ComplianceDec 4, 2027
10D2077623Nova Southeastern University - Student Medical Ctr3200 S University Dr Ste 4150, Fort Lauderdale, FL 33328Certificate of waiverSep 3, 2026
10D2077635Nova Southeastern University - Internal Medicine3200 S University Dr Ste 4128, Fort Lauderdale, FL 33328Certificate of waiverApr 30, 2027
10D2077637Nova Southeastern University - OBGYN3200 S University Dr Ste 4306, Fort Lauderdale, FL 33328Provider-performed microscopyMay 12, 2028
10D2077643Nova Southeastern University -3200 S University Dr Ste 4372, Fort Lauderdale, FL 33328Provider-performed microscopyMay 12, 2028
10D2118137Nova Southeastern University, Inc3200 S University Dr, Fort Lauderdale, FL 33328Certificate of waiverAug 30, 2026

National Provider Directory

National Provider Directory
Tax ID family
Opa Locka Family Health38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

Locations

3200 S University Dr
Bldg 3
Davie, FL 33328

3200 S University Dr
Fl 1
Davie, FL 33328

3600 S University Dr
Davie, FL 33328
Phone (954) 262-1679

1750 NE 167th St
Fl 4
North Miami Beach, FL 33162

Practitioners & affiliated clinicians

Practitioners 233

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 233

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793577600000",
    "number": "1770533390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290370",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333290370",
            "telephone_number": "954-262-4343",
            "fax_number": "954-262-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S UNIVERSITY DRIVE",
            "address_2": "SANFORD L. ZIFF BLDG.",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "333282018",
            "telephone_number": "954-262-7382",
            "fax_number": "954-262-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA SOUTHEASTERN UNIVERSITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A",
        "authorized_official_last_name": "LAZALA",
        "authorized_official_first_name": "JULISSA",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "954-262-4946"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "TPNU051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.