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

Nova Southeastern University, Inc

Organization Family Medicine Physician · NPI 1922603422

Nova Southeastern University, Inc is a Family Medicine Physician in Davie, Florida. Registered with an NPI since 2020.

In the registry since
2020
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

3625 College Ave Ste 135
Davie, FL 33314-7724
Phone: (954) 262-4100
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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

Record details

NPI number1922603422
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rosemery Estevez — Credentialing And Contracting Dir · (954) 262-4343
NPI enumeratedDecember 2, 2020
Last updated in NPPESDecember 2, 2020
Certification dateDecember 2, 2020
Mailing addressPo Box 290370, Davie, FL 33329-0370

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