MEDICARE: NOVA MEDICAL OFFICE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1841142452
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOVA MEDICAL OFFICE LLC

Provider Business Mailing Address
First Line	:	285 NW 27TH AVE STE 14
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-5133
Country	:	US
Telephone Number	:	305-456-5531
Fax Number	:	305-456-3894

Provider Business Practice Location Address
First Line	:	285 NW 27TH AVE STE 14
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-5133
Country	:	US
Telephone Number	:	305-456-5531
Fax Number	:	305-456-3894

Authorized Official
Title or Position	:	ADMIN
Name	:	MAGDA MANIRA ABDORABBO
Credential	:
Telephone Number	:	305-456-5531

Provider Enumeration Date	:	02/14/2026
Last Update Date	:	02/14/2026

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Directions to “NOVA MEDICAL OFFICE LLC ” Practice Location

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