Organization · Type 2 NPI
Nova Southeastern University, Inc.
Sports Medicine (Family Medicine) Physician · Fort Lauderdale, FL
Practice location
3301 College Ave, University Center Room 1433
Fort Lauderdale, FL 33314-7721
Fax (954) 262-5570
Mailing address
PO Box 290370
Fort Lauderdale, FL 33329-0370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | None listed |
| Nutritionist | 133N00000X | None listed |
| Registered Dietitian | 133V00000X | None listed |
| Optometrist | 152W00000X | None listed |
| Acupuncturist | 171100000X | None listed |
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | None listed |
| Sports Medicine (Family Medicine) Physician Primary | 207QS0010X | None listed |
| Physical Therapist | 225100000X | None listed |
Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…
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About NPI 1720126584
Nova Southeastern University, Inc.'s National Provider Identifier is 1720126584, issued on Feb 2, 2007. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Nov 2, 2026.