Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nova Southeastern University, Inc

Organization Family Medicine Physician · NPI 1780649194

Nova Southeastern University, Inc is a Family Medicine Physician in Davie, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3200 S University Dr Assembly Bldg II Ste 202
Davie, FL 33328-2018
Phone: (954) 262-4399
Fax: (954) 262-1172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS2443 (FL)

Record details

NPI number1780649194
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Oller — Ceo · (954) 262-4399
NPI enumeratedApril 19, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3200 S University Dr, Assembly Building Ii, Suite 202, Davie, FL 33328-2018

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