Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NOVA SOUTHEASTERN UNIVERSITY, INC
NPI 1033357611
Dentist - General Practice in Davie, FL

Active since February 04, 2009
3200 S UNIVERSITY DR, DAVIE, FL 33328(954) 262-7500(954) 262-7164 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2026, Dec 15, 2025, May 25, 2023 (3 updates tracked since 2023).

About Nova Southeastern University, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOVA SOUTHEASTERN UNIVERSITY, INC (NPI 1033357611) is a healthcare organization registered as a general practice in Davie, Florida and active in the NPI registry since February 2009. The organization lists Julissa Lazala, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1033357611
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNOVA SOUTHEASTERN UNIVERSITY, INC
Location Address3200 S UNIVERSITY DRDavie, FL 33328-2018
Mailing AddressPo Box 290370Ft Lauderdale, FL 33329-0370 · (954) 262-4343 · Fax (954) 262-2269
Fax(954) 262-7164
Organization SubpartYes
Authorized OfficialJulissa LazalaDirector Of Revenue Cycle · (954) 262-4946
Enumeration DateFebruary 4, 2009
Last NPPES UpdateOctober 6, 20263 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1033357611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X
3200 S UNIVERSITY DR, Davie, FL 33328

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nova Southeastern University, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

262

Medicare enrollment records show 262 clinicians reassign Medicare billing to Nova Southeastern University, Inc, which bills Medicare for the services they deliver. Of these, 103 practice at this address and 174 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 32

Optometry118
Family Practice30
Internal Medicine15
Physical Therapist in Private Practice13
Qualified Speech Language Pathologist11
Pediatric Medicine10
Qualified Audiologist9
Nurse Practitioner6
24 other specialties50

Nearest to this location (20)

See all 262
Family Practice
NPI 1205886231
3200 S. UNIVERSITY DRIVE
Ft. Lauderdale, FL 33328
(954) 262-4100
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1689419657
3200 S UNIVERSITY DR BLDG 1402
Davie, FL 33328
(954) 262-4235
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1922532811
3200 S UNIVERSITY DR
Davie, FL 33328
(954) 262-4200
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1720215122
3200 S UNIVERSITY DR
Davie, FL 33328
(954) 262-4100
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1902985344
3200 S UNIVERSITY DR
Davie, FL 33328
(305) 336-0108
✔ PECOSSame address
Internal Medicine
NPI 1538547096
3200 S UNIVERSITY DR
Davie, FL 33328
(954) 262-4100
✔ PECOS✔ Accepts MedicareSame address
Oral and Maxillofacial Pathology
NPI 1780158667
3200 S UNIVERSITY DR
Davie, FL 33328
(954) 262-1698
✔ PECOSSame address
Registered Dietitian or Nutrition Professional
NPI 1013223650
3200 S UNIVERSITY DR
Davie, FL 33328
(954) 262-4100
✔ Accepts MedicareSame address
Oral Surgery
NPI 1972800852
3200 S UNIVERSITY DR
Davie, FL 33328
(954) 262-7369
✔ PECOSSame address
Pediatric Medicine
NPI 1285742569
3200 S UNIVERSITY DR
Davie, FL 33328
(954) 937-6764
✔ PECOSSame address
Emergency Medicine
NPI 1285715649
3200 S UNIVERSITY DR
Davie, FL 33328
(954) 262-4100
✔ PECOSSame address
Qualified Audiologist
NPI 1932342953
3200 S UNIVERSITY DR DEPARTMENT OF AUDIOLOGY
Davie, FL 33328
(954) 262-7750
Same address
Qualified Audiologist
NPI 1407896491
3200 S UNIVERSITY DR
Davie, FL 33328
(954) 262-1259
Same address
Obstetrics/Gynecology
NPI 1760597009
3200 S UNIVERSITY DR
Davie, FL 33328
(954) 262-1142
✔ PECOSSame address
Rheumatology
NPI 1285685115
3200 S UNIVERSITY DR BLDG 4128
Davie, FL 33328
(954) 262-4100
✔ PECOS✔ Accepts MedicareSame address
Geriatric Medicine
NPI 1780620476
3200 S UNIVERSITY DR
Davie, FL 33328
(954) 262-4100
✔ PECOSSame address
Maxillofacial Surgery
NPI 1730145061
3200 S UNIVERSITY DR
Davie, FL 33328
(954) 262-7153
✔ PECOSSame address
Physical Therapist in Private Practice
NPI 1568533933
3200 S UNIVERSITY DR
Davie, FL 33328
(954) 262-4151
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1922358001
3200 S. UNIVERSITY DRIVE
Fort Lauderdale, FL 33328
(954) 262-4149
Same address
Pathology
NPI 1902913601
3200 S UNIVERSITY DR #7393
Davie, FL 33328
(954) 262-7382
✔ PECOSSame address
See all 262 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nova Southeastern University, Inc's NPI number?

The NPI number for Nova Southeastern University, Inc is 1033357611. It was assigned to this organization in the NPPES registry on February 4, 2009.

Where is Nova Southeastern University, Inc located?

Nova Southeastern University, Inc is located at 3200 S University Dr, Davie, FL 33328. The listed phone number is (954) 262-7500.

What is Nova Southeastern University, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Nova Southeastern University, Inc enrolled in Medicare?

Yes. Nova Southeastern University, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nova Southeastern University, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 262 clinicians in 32 Medicare specialties reassign their Medicare billing to Nova Southeastern University, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Optometry (118), Family Practice (30) and Internal Medicine (15). Of these, 103 practice at this address and 174 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Nova Southeastern University, Inc accept?

Health plans from AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Nova Southeastern University, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nova Southeastern University, Inc was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.