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

Nsu-College of Osteopathic Medical Center at Covenant Village

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1093147670

Nsu-College of Osteopathic Medical Center at Covenant Village is a Geriatric Medicine (Family Medicine) Physician in Plantation, Florida. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
3

Practice location Address checks out

9241 W Broward Blvd
Plantation, FL 33324-2454
Phone: (954) 262-4343
Fax: (954) 262-2269
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X

Record details

NPI number1093147670
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rosemery Estevez — Director Of Contracting And Creden · (954) 262-4343
NPI enumeratedAugust 6, 2013
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023
Mailing addressPo Box 290370, Davie, FL 33329-0370

Other providers in Plantation