GENESISCARE USA OF FLORIDA LLC (NPI# 1528423670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528423670 |
| Entity Type | Organization |
| Organization Name | GENESISCARE USA OF FLORIDA LLC |
| Other Organization Name | 21C PHARMACY |
| Practice Address |
2234 Colonial Blvd Ste 110 Fort Myers FL 33907 |
| Mailing Address |
2270 Colonial Blvd Fort Myers FL 33907-1412 |
| Practice Telephone | 2393331700 |
| Practice Fax Number | 2393330688 |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | MICHAEL MCGOWAN (MEDICAL SYSTEMS COORDINATOR) |
| Authorized Official Telephone | 2399389381 |
| Is Organization Subpart | Y |
| Parent Organization Name | GENESISCARE USA INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PH29594 | FL | Suppliers |
| Other Name | Type Code |
|---|---|
| 21C Pharmacy | Doing Business As Name - Organization |
| GenesisCare Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336509546 | Genesiscare Usa of Florida LLC | Surgery | 550 Twin Cities Blvd Ste C, Niceville, FL 32578-1050 | 2016-03-01 |
| 1982079380 | Genesiscare Usa of Florida LLC | Surgery | 820 Goodlette-frank Rd N, Naples, FL 34102-5445 | 2015-12-10 |
| 1184095234 | Genesiscare Usa of Florida LLC | Urology | 5065 S State Road 7 Ste 203, Lake Worth, FL 33449-5439 | 2015-10-15 |
| 1770952616 | Genesiscare Usa of Florida LLC | Urology | 3361 South Miami Avenue, Suite 306, Miami, FL 33133-4232 | 2015-09-22 |
| 1659755783 | Genesiscare Usa of Florida LLC | Surgery | 8925 Colonial Center Dr Ste 2000, Fort Myers, FL 33905-7813 | 2015-07-18 |
| 1174915748 | Genesiscare Usa of Florida LLC | Urology | 2721 Del Prado Blvd S Ste 230b, Cape Coral, FL 33904-5993 | 2015-02-19 |
| 1891036810 | Genesiscare Usa of Florida LLC | Surgery | 13691 Metro Pkwy Ste 350, Metro Medical Plaza, Fort Myers, FL 33912-4351 | 2013-03-15 |
| 1871735480 | Genesiscare Usa of Florida LLC | Urology | 2150 S Andrews Ave Ste 100, Fort Lauderdale, FL 33316-3432 | 2009-03-27 |
| 1972796787 | Genesiscare Usa of Florida LLC | Surgery | 1311 N University Dr, Coral Springs, FL 33071-6622 | 2007-08-24 |
| 1881639482 | Genesiscare Usa of Florida LLC | Colon & Rectal Surgery | 13770 Plantation Rd Ste 2, Fort Myers, FL 33912-4460 | 2006-06-18 |
| Street Address |
2234 COLONIAL BLVD STE 110 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011890 | Green Star Pharmacy | Pharmacy | 2950 Winkler Ave Ste 701, Fort Myers, FL 33916-9322 | 2020-07-27 |
| 1265065783 | Prevent Rx 2, LLC | Pharmacy | 3677 Central Ave Ste A, Fort Myers, FL 33901-8226 | 2020-02-13 |
| 1083256317 | Promell Pharmacy | Pharmacy | 8291 Dani Dr Ste 103, Fort Myers, FL 33966-8009 | 2019-10-08 |
| 1649710534 | Gulf Coast Pharmacy Inc | Pharmacy | 6631 Orion Dr, Suite 112, Fort Myers, FL 33912-4333 | 2017-02-27 |
| 1548623028 | Univv I Inc | Pharmacy | 4857 Palm Beach Blvd Ste 1, Fort Myers, FL 33905-3206 | 2016-04-01 |
| 1558610527 | Revive Pharmacy Inc | Pharmacy | 16205 S Tamiami Trl, Suite # 6, Fort Myers, FL 33908-5304 | 2012-09-05 |
| 1194024406 | Sunset Pharmacy LLC | Pharmacy | 4224 Cleveland Ave Ste 5, Fort Myers, FL 33901-9051 | 2011-03-25 |
| 1821399114 | Dollar Rx Pharmacy | Pharmacy | 2950 Winkler Ave # 701, Fort Myers, FL 33916 | 2010-11-03 |
| 1730493636 | Option Care Enterprises, Inc. | Pharmacy | 14580 Global Pkwy, Suite 108, Fort Myers, FL 33913-8887 | 2010-08-03 |
| 1477740298 | Rx To Go LLC | Pharmacy | 14543 Global Pkwy Ste 100, Fort Myers, FL 33913-9446 | 2007-09-25 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
Please comment or provide details below to improve the information on GENESISCARE USA OF FLORIDA LLC.
| 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.