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Ovi Nodarse

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

6129 SW 70th St, South Miami, FL 33143-3451

PECOS Enrollment

Based on the most recent information from CMS, provider Ovi Nodarse is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1255812962
Provider Type
Individual
Full Name
Nodarse, Ovi
Credential
APRN

Gender
Male
Sole Proprietor
No
Enumeration Date
8/22/2018
Last Updated
11/24/2025

Contact Information

Practice Location

6129 SW 70th St, South Miami, FL 33143-3451

(786) 871-6854

(786) 871-6801

Mailing Location

1751 Bonaventure Blvd, Weston, FL 33326-4039

(954) 656-3181

(954) 656-3188

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN9376506 Florida
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP9376506 Florida

Ovi Nodarse

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Gonzalez, Lilian

Hernandez, Bianca Giselle

Rodriguez, Stephanie Paquet

Perez Landaburo, Ramon Osmany

Grau Fernandez, Tania

Gonzalez, Rosa

Vidal, Cristina

Granadillo, Sasha

Fletcher, Meghann