GENESTEM


Address: 4101 Nw 4th St, Suite 211, Plantation, FL 33317-2850
Phone: 5615372603

GENESTEM (NPI# 1235472671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235472671
Entity Type Organization
Organization Name GENESTEM
Practice Address 4101 Nw 4th St
Suite 211
Plantation
FL 33317-2850
Mailing Address 1022 Jeffery St
Boca Raton
FL 33487-4183
Practice Telephone 5615372603
Enumeration Date 2013-04-04
Last Update Date 2013-04-04
Authorized Official Name JOHN DELUCA (CMO)
Authorized Official Telephone 5615372603
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QG0250X Clinic/Center
Specialization: Genetics
ME102199 ZZ Ambulatory Health Care Facilities

Office Location

Street Address 4101 NW 4TH ST
SUITE 211
City PLANTATION
State FL
Zip Code 33317-2850

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235124629 Andrew S Ellowitz Orthopaedic Surgery 4101 Nw 4th St, Suite 305, Plantation, FL 33317-2850 2005-09-13
1386141414 Jessica Saint Clair Nurse Practitioner 4101 Nw 4th St, Plantation, FL 33317-2850 2018-04-05
1043757537 Alan Bruce Dautch, Pa Chiropractor 4101 Nw 4th St, #208, Plantation, FL 33317-2850 2017-01-23
1750779682 Claudine Mckenzie Nurse Practitioner 4101 Nw 4th St, Suite 200, Plantation, FL 33317-2850 2014-12-30
1073941324 Syretta Morris Nurse Practitioner 4101 Nw 4th St, Suite 306, Plantation, FL 33317-2850 2013-10-24
1154762771 Injury Treatment Center of Coral Springs, Inc. Non-Pharmacy Dispensing Site 4101 Nw 4th St, #208, Plantation, FL 33317-2850 2013-07-11
1710226055 Michelle Margaret Roachford Nurse Practitioner 4101 Nw 4th St, Suite 306, Plantation, FL 33317-2850 2013-02-06
1891046199 Jacqueline E. Smith Md. Pa Ophthalmology 4101 Nw 4th St, Suite 409, Plantation, FL 33317-2850 2012-09-26
1861748717 Vicky Jasmine Marsh Family Medicine 4101 Nw 4th St, Suite 211, Plantation, FL 33317-2850 2012-07-30
1093074510 Joanna Antoinette Dunk Nurse Practitioner 4101 Nw 4th St, Suite 404, Plantation, FL 33317-2850 2012-05-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437704434 Md Now Medical Centers Inc Clinic/Center 4640 W Commercial Blvd, Tamarac, FL 33317 2019-08-06
1902348675 Atroypen Group, Inc Case Management 4330 W Broward Blvd Ste R, Plantation, FL 33317 2016-11-13
1417329665 Marie Eronne Jean Charles Nurse Practitioner 6901 Cypress Road, Plantation, FL 33317 2015-10-28
1871977025 Yanliceth Rodriguez Clinic/Center 4430 Sw 22nd Ct, Ft Lauderdale, FL 33317 2015-07-17
1710361472 Melissa Coffman Physician Assistant 960 Sw 74th Avenue, Plantation, FL 33317 2015-07-13
1134511058 Emad Ziaden Physical Therapist 747 S. State Rd 7, Plantation, FL 33317 2015-03-02
1760880710 Michael Robert Tanguay Orthotist 450 North State Road 7, Plantation, FL 33317 2014-12-08
1821427675 Mankame, Dipak M., D.d.s., P.a. Dentist 300 N.w. 70th Ave Suite 109, Plantation, FL 33317 2013-11-02
1679828826 Kozy Kove Assisted Living Facility Assisted Living Facility 490 Nw 45 Terr, Plantation, FL 33317 2012-07-13
1205102845 Aratha Franklin Dixon Psychologist 4121 Nw 5th # 207, Plantation, FL 33317 2012-03-28
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Taxonomy Information

Taxonomy Code 261QG0250X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Genetics

Taxonomy Definition

An entity, facility, or distinct part of a facility providing analysis of family history, genetic laboratory testing and analysis, diagnosis of genetic trait, prognosis and options. Laboratory studies may be outsourced.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780147678 Teleemc LLC Clinic/Center 21346 St. Andrews Blvd., Suite 195, Boca Raton, FL 33433 2019-04-09
1255804092 Sequential Genetics LLC Clinic/Center 12105 28th St N Ste A, Saint Petersburg, FL 33716-1817 2019-01-04
1922637867 Universal Medical Diagnostic Services Inc Clinic/Center 6303 Blue Lagoon Dr Ste 400, Miami, FL 33126-6040 2020-04-03
1164081725 Cloud Med Lab LLC Clinic/Center 1951 Nw 7th Ave Ste 600, Miami, FL 33136-1128 2019-06-07
1760049639 Dfz Marketing LLC Clinic/Center 11613 Sw 216th St, Miami, FL 33170-2933 2019-05-24
1619475290 Lucid Genetics, Corp. Clinic/Center 970 Lake Carillon Dr Ste 300, St Petersburg, FL 33716-1130 2018-01-29
1275697377 All Dade Medical Services Clinic/Center 8900 Coral Way, # 208, Miami, FL 33155 2006-12-21

Competitor

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City PLANTATION
Zip Code 33317

Improve Information

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Dataset Information

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.

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