GENESISCARE USA OF FLORIDA LLC (NPI# 1679998082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679998082 |
| Entity Type | Organization |
| Organization Name | GENESISCARE USA OF FLORIDA LLC |
| Other Organization Name | PULMONARY, CRITICAL CARE, AND SLEEP MEDICINE OF SW FLORIDA |
| Practice Address |
7335 Gladiolus Dr Fort Myers FL 33908-5101 |
| Mailing Address |
2160 Colonial Blvd Fort Myers FL 33907-1410 |
| Practice Telephone | 2399317342 |
| Practice Fax Number | 2399317385 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2020-08-25 |
| 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 |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | CE7138 | 01 |
| Other Name | Type Code |
|---|---|
| Pulmonary, Critical Care, and Sleep Medicine of SW Florida | 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 |
| 1528423670 | Genesiscare Usa of Florida LLC | Pharmacy | 2234 Colonial Blvd Ste 110, Fort Myers, FL 33907 | 2015-12-16 |
| 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 |
| Street Address |
7335 GLADIOLUS DR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992770507 | Robert Scott Gilbert | Physician Assistant | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2006-02-18 |
| 1841841822 | Anisa Meghan Jallal | Physician Assistant | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2019-09-22 |
| 1275181265 | Rachel Michele Bautsch | Physician Assistant | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2019-09-03 |
| 1598129991 | Shonna P Baldwin | Nurse Practitioner | 7335 Gladiolus Dr, Fort Myers, FL 33908 | 2016-04-12 |
| 1558703652 | Harry Tsai Md LLC | Urology | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2013-07-18 |
| 1609142264 | Krunal Bharat Patel | Internal Medicine | 7335 Gladiolus Dr, Fort Myers, FL 33908 | 2012-03-28 |
| 1457675316 | Adam James Quarles | Nurse Practitioner | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2010-03-22 |
| 1336337591 | Andrew I Horowitz | Urology | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2007-10-11 |
| 1891985669 | Emily Day | Physician Assistant | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2007-07-27 |
| 1255531786 | 21st Century Oncology LLC | Durable Medical Equipment & Medical Supplies | 7335 Gladiolus Dr, Fort Myers, FL 33908-5122 | 2007-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114911609 | Sunil N Lalla Md Pa | Internal Medicine | 14171 Metropolis Ave, 202, Fort Myers, FL 33912-4335 | 2005-09-11 |
| 1174521009 | Imtiaz Ahmad | Internal Medicine | 16420 Healthpark Commons Dr, Suite 100, Fort Myers, FL 33908-9621 | 2005-07-13 |
| 1760911051 | Jec Physician Services, LLC | Internal Medicine | 13670 Metropolis Ave Ste 106, Fort Myers, FL 33912-4346 | 2017-06-08 |
| 1518393362 | Genesiscare Usa of Florida LLC | Internal Medicine | 16420 Healthpark Commons Dr, Suite 100, Fort Myers, FL 33908-9621 | 2013-09-24 |
| 1902177058 | Mohammad A Rashid | Internal Medicine | 9470 Healthpark Cir, Fort Myers, FL 33908-3600 | 2012-01-21 |
| 1790081701 | Jordan Kristofer Taillon | Internal Medicine | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2011-02-08 |
| 1093978215 | Antonio R. Pizarro | Internal Medicine | 5820 Buckingham Rd, Fort Myers, FL 33905-7413 | 2008-07-08 |
| 1982810669 | Rami Almadi | Internal Medicine | 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818 | 2007-05-16 |
| 1407994262 | Warren A Wilkes | Internal Medicine | 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966 | 2007-02-02 |
| 1699832949 | Razak Abdul Dosani | Internal Medicine | 5216 Clayton Court, Fort Myers, FL 33907 | 2007-01-03 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
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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.