Provider Demographics
NPI:1003790601
Name:NOVA INTEGRATIVE CARE INC
Entity type:Organization
Organization Name:NOVA INTEGRATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MADELEISY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLERIO
Authorized Official - Suffix:
Authorized Official - Credentials:CO-OWNER
Authorized Official - Phone:305-424-9060
Mailing Address - Street 1:13306 SW 128TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5899
Mailing Address - Country:US
Mailing Address - Phone:305-424-9060
Mailing Address - Fax:
Practice Address - Street 1:13306 SW 128TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5899
Practice Address - Country:US
Practice Address - Phone:305-424-9060
Practice Address - Fax:053-634-4123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical