MEDICARE: NOVA SOUTHEASTERN UNIVERSITY, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	208000000X	Pediatrics Physician
3	207Q00000X	Family Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	98673C	OTHER		MEDICARE GROUP NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881732634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOVA SOUTHEASTERN UNIVERSITY, INC

Provider Business Mailing Address
First Line	:	3200 S UNIVERSITY DR
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33328-2018
Country	:	US
Telephone Number	:	954-262-4343
Fax Number	:	954-262-2269

Provider Business Practice Location Address
First Line	:	16853 NE 2ND AVE STE S101
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-1776
Country	:	US
Telephone Number	:	954-262-4100
Fax Number	:	954-262-3993

Authorized Official
Title or Position	:	DIRECTOR OF CONTRACTING AND CREDEN
Name	:	ROSEMERY ESTEVEZ
Credential	:
Telephone Number	:	954-262-4343

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	02/05/2026

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1083873277 — VENTURE AMBULATORY SURGERY CENTER LLC
Practice Location Address:

16853 NE 2ND AVE , SUITE 400
NORTH MIAMI BEACH, FL
33162-1776

Practice Phone: 305-652-2999
Practice Fax: 305-652-8156

1740552322 — MTCA PSYCHOLOGICAL SERVICES P.A.
Practice Location Address:

16853 NE 2ND AVE STE 304
NORTH MIAMI BEACH, FL
33162-1776

Practice Phone: 786-414-6666
Practice Fax: 786-221-3542

1780933820 — PREFERRED FAMILY CARE, INC
Practice Location Address:

16853 NE 2ND AVE STE 101
NORTH MIAMI BEACH, FL
33162-1776

Practice Phone: 305-548-8530
Practice Fax: 305-548-8533

1245602895 — VERONIKA AGEYEVA O.D.
Practice Location Address:

16853 NE 2ND AVE STE 201
NORTH MIAMI BEACH, FL
33162-1776

Practice Phone: 305-654-8810
Practice Fax:

1851847834 — SENIOR LIVING MEMORY HEALTH, INC.
Practice Location Address:

16853 NE 2ND AVE STE 304
NORTH MIAMI BEACH, FL
33162-1776

Practice Phone: 786-414-6666
Practice Fax: 786-221-3542

Directions to “NOVA SOUTHEASTERN UNIVERSITY, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.