Organization · Type 2 NPI

Nova Southeastern University

Allergy & Immunology (Internal Medicine) Physician · Miami, FL

NPI number 1336477397 Active

Practice location

8501 SW 124th Ave Ste 111
Miami, FL 33183-4631

Call (305) 275-2601 Map

Fax (305) 274-8075

Mailing address

PO Box 290370
Davie, FL 33329-0370

Specialties and licenses

Taxonomy	Code	License
Acupuncturist	171100000X	None listed
Allergy & Immunology Physician	207K00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Allergy & Immunology (Internal Medicine) Physician Primary	207RA0201X	None listed
Medical Specialty Clinic/Center	261QM2500X	680074-3 (FL)
Nurse Practitioner	363L00000X	None listed

Allergy & Immunology (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.

NPI record

NPI: 1336477397
Entity type: Organization (Type 2)
Issued: Dec 2, 2009
Last updated: May 24, 2023
Status: Active

Other names

<unavail>
Nsu - Center for Neuro Immune Disorders · other name
Nsu - Center for Neuro Immune Disorders · other name

Authorized official

Rosemery Estevez
Dir Contracting and Cred
(954) 262-4343

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336477397

Nova Southeastern University's National Provider Identifier is 1336477397, issued on Dec 2, 2009. The primary taxonomy on file is Allergy & Immunology (Internal Medicine) Physician (207RA0201X), and the practice location is in Miami, FL. The record was last updated on May 24, 2023.