Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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 provides Geriatric Medicine (Family Medicine) Physician services 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