GENESISCARE USA OF FLORIDA, LLC (NPI# 1144599440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144599440 |
| Entity Type | Organization |
| Organization Name | GENESISCARE USA OF FLORIDA, LLC |
| Other Organization Name | JONATHAN L MASEL MD |
| Practice Address |
4030 Sheridan St Suite C Hollywood FL 33021-3564 |
| Mailing Address |
2160 Colonial Blvd Fort Myers FL 33907-1410 |
| Practice Telephone | 9549617500 |
| Practice Fax Number | 9549648965 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2020-08-24 |
| Authorized Official Name | DAN COLLINS (PRESIDENT) |
| Authorized Official Telephone | 2399317275 |
| Is Organization Subpart | Y |
| Parent Organization Name | GENESISCARE USA INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | CE9586 | 01 |
| Other Name | Type Code |
|---|---|
| Jonathan L Masel MD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649649955 | Genesiscare Usa of Florida, LLC | Surgery | 3319 State Road 7, Suite 105, Wellington, FL 33449-8094 | 2015-09-16 |
| Street Address |
4030 SHERIDAN ST SUITE C |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-3564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013900414 | Jonathan L Masel | Urology | 4030 Sheridan St, Suite C, Hollywood, FL 33021-3564 | 2005-08-31 |
| 1881010007 | Michael Tunick | Dentist | 4030 Sheridan St, Suite B, Hollywood, FL 33021-3536 | 2014-03-12 |
| 1548690019 | Leonardo Frydman | Dentist | 4030 Sheridan St, Suite B, Hollywood, FL 33021-3564 | 2013-11-20 |
| 1336490960 | Lft Management, Inc. | Exclusive Provider Organization | 4030 Sheridan St, Ste A, Hollywood, FL 33021-3564 | 2012-09-22 |
| 1386931541 | Flavio A Kottar | Dentist | 4030 Sheridan St, Suite B, Hollywood, FL 33021-3564 | 2011-07-07 |
| 1326014762 | Jeffrey Rothstein, D.o. P.a. | Clinic/Center | 4030 Sheridan St, Suite A, Hollywood, FL 33021-3564 | 2006-02-26 |
| 1518933944 | Jeffrey Rothstein | Family Medicine | 4030 Sheridan St, Suite A, Hollywood, FL 33021-3564 | 2006-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154641611 | George Michael Glantz | Urology | 3630 N 52 Ave, Hollywood, FL 33021-2248 | 2010-06-08 |
| 1730343112 | Richard Jay Finder | Urology | 3610 N 32nd Ave, Hollywood, FL 33021-2612 | 2008-07-15 |
| 1013900414 | Jonathan L Masel | Urology | 4030 Sheridan St, Suite C, Hollywood, FL 33021-3564 | 2005-08-31 |
| 1407848195 | Matthew Kobina Hasford | Urology | 3700 Washington St Ste 104, Hollywood, FL 33021-8291 | 2005-08-18 |
| 1679579676 | Joel L Martin | Urology | 3939 Hollywood Blvd, Ste 3a, Hollywood, FL 33021-6749 | 2005-06-23 |
| 1578964524 | Urology Professionals of South Florida LLC | Urology | 3700 Washington St Ste 104, Hollywood, FL 33021-8291 | 2014-09-09 |
| 1326219627 | Joel L Martin M D P A | Urology | 3939 Hollywood Blvd, Ste 3a, Hollywood, FL 33021-6749 | 2008-03-14 |
| 1508042185 | Uro-medix Inc | Urology | 6100 Hollywood Blvd, Suite 100, Hollywood, FL 33024-7900 | 2008-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770193450 | Urotelemedicine LLC | Urology | 8669 Nw 36th St Ste 325, Doral, FL 33166-6698 | 2020-08-06 |
| 1700411618 | Ackerman Cancer Center, Pa | Urology | 159 North 3rd St, Macclenny, FL 32063-2103 | 2020-03-11 |
| 1043844483 | Jesse Aaron Ory | Urology | 5555 Ponce De Leon Blvd Fl 4, Coral Gables, FL 33146-2513 | 2020-02-25 |
| 1215591565 | Advent Health | Urology | 420 Celebration Ave, Celebration, FL 34747-4683 | 2019-04-23 |
| 1710442264 | Urologic Specialists of Central Florida Pllc | Urology | 575 S Wickham Rd Ste A, West Melbourne, FL 32904-1170 | 2019-02-08 |
| 1578028197 | Prody Urology, Pllc | Urology | 575 S Wickham Rd Ste B, West Melbourne, FL 32904-1170 | 2019-02-07 |
| 1366916843 | Dr. Carolyn Langford Urologic Solutions, LLC | Urology | 9400 Gladiolus Dr Ste 30, Fort Myers, FL 33908-9615 | 2019-01-17 |
| 1376016568 | Advanced Innovative Urology Pa | Urology | 4737 N Ocean Dr Ste 103, Lauderdale By The Sea, FL 33308-2920 | 2019-01-10 |
| 1306314281 | Urology Consultants of Boca Raton Pa | Urology | 825 Meadows Rd Ste 111, Boca Raton, FL 33486-2347 | 2018-11-08 |
| 1013490309 | Seetharam Bhat Kulthe Ramesh | Urology | 401 Celebration Pl Ste 200, Celebration, FL 34747-4971 | 2018-09-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.