Provider Demographics
NPI:1730324047
Name:NOVA CAT INCORPORATION
Entity Type:Organization
Organization Name:NOVA CAT INCORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCANLON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:561-302-8975
Mailing Address - Street 1:5733 NW 50TH ST
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-4010
Mailing Address - Country:US
Mailing Address - Phone:954-346-8347
Mailing Address - Fax:
Practice Address - Street 1:101 S FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33460-4228
Practice Address - Country:US
Practice Address - Phone:561-582-4151
Practice Address - Fax:561-582-4393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-16
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty