GENESTEM (NPI# 1235472671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QG0250X |
Clinic/Center Specialization: Genetics |
ME102199 | ZZ | Ambulatory Health Care Facilities |
Street Address |
4101 NW 4TH ST SUITE 211 |
City | PLANTATION |
State | FL |
Zip Code | 33317-2850 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 33317 |
Taxonomy Code | 261QG0250X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Genetics |
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] |
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 |
City | PLANTATION |
Zip Code | 33317 |
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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.