Nova Southeastern University Inc.
Organization Active NPI Clinical Medical Laboratory · Ft. Lauderdale, FL
NPI 1770533390 · NPPES record last updated May 4, 2023
Key facts
- NPI
- 1770533390
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- TPNU051 (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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Rosemery Estevez
- Title
- Contracting and Credentialing Direc
- Phone
- (954) 262-4343
Other NPIs on the same Medicare enrollment 23
Corporate family (same tax ID) 37
Practitioners 233
-
Mariem Abdou, OD
-
Veronica Acuna, OD
-
Hadi Al Masri, D.O.
-
Renee Beverly Alexis, M.D.
-
Winston Louis Alexis, M.D.
-
Noel Alonso, M.D.
-
Sahar S Amini, D.O.
-
Paula L. Anderson-Worts, D.O., M.P.H.
-
Nicole Denise Andriesse, MS, CCC-SLP
-
Barbara Arcos, D.O.
-
Nicholas John Arcos, D.O.
-
Michael J Au, O.D.
-
Annette Bade, O.D.
-
Fareeda Salma Baksh-Deen, M.D.
-
Ariela Baran, OD
-
Tye Ed Barber, D.O.
-
Patricia Barros, DMD
-
Patrick Eugene Barry, D.O.
-
Karen S. Basedow, RD
-
Kellie Thompson Bassion, O.D.
-
Tiana Tamara Berezu, O.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0871493 | Nova Southeastern University Health Care Center | Provider-performed microscopy | Dec 26, 2027 |
| 10D0963534 | Nova Southeastern University Clinic Pharmacy | Certificate of waiver | Aug 1, 2027 |
| 10D0992924 | Nova Southeastern University - | Compliance | Dec 4, 2027 |
| 10D2077623 | Nova Southeastern University - Student Medical Ctr | Certificate of waiver | Sep 3, 2026 |
| 10D2077635 | Nova Southeastern University - Internal Medicine | Certificate of waiver | Apr 30, 2027 |
| 10D2077637 | Nova Southeastern University - OBGYN | Provider-performed microscopy | May 12, 2028 |
| 10D2077643 | Nova Southeastern University - | Provider-performed microscopy | May 12, 2028 |
| 10D2118137 | Nova Southeastern University, Inc | Certificate of waiver | Aug 30, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Nova Southeaster Univ
Locations
3600 S University Dr
Davie, FL 33328
Phone (540) 422-3321
3440 S University Dr
Davie, FL 33328
Phone (954) 424-6911
3200 S University Dr
Bldg 3
Davie, FL 33328
3200 S University Dr
Bldg 3RD
Davie, FL 33328
650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213
8501 SW 124th Ave
Ste 111A
Miami, FL 33183
1750 NE 167th St
Fl 4
North Miami Beach, FL 33162
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | TPNU051 | FL | Yes |
Addresses
Primary practice location
3200 S University Drive
Sanford L. Ziff BLDG.
Ft. Lauderdale, FL 33328-2018
Mailing address
3200 S University Dr BLDG 3
Davie, FL 33328-2018
Phone (954) 262-4343
Other providers in Ft. Lauderdale, FL
- Northeast Family Services of Florida, Inc.
- Northland Hearing Centers, Inc.
- Northpoint Medical, P.a.
- Daryl Anthony Norwood
- Patrick J Noud
- Nova Southeastern University, Inc
- Nova Southeastern University, Inc
- Nova Southeastern University, Inc
- Nova Southeastern University, Inc
- Nova Southeastern University, Inc
All providers in Ft. Lauderdale, FL · Clinical Medical Laboratory in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.