GENESISCARE USA OF FLORIDA LLC


Address: 3361 South Miami Avenue, Suite 306, Miami, FL 33133-4232
Phone: 3058565057

GENESISCARE USA OF FLORIDA LLC (NPI# 1770952616) 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) 1770952616
Entity Type Organization
Organization Name GENESISCARE USA OF FLORIDA LLC
Other Organization Name AUGUSTO E TIRADO MD
Practice Address 3361 South Miami Avenue
Suite 306
Miami
FL 33133-4232
Mailing Address 2160 Colonial Blvd
Fort Myers
FL 33907-1410
Practice Telephone 3058565057
Practice Fax Number 3058568735
Mailing Telephone 2399317342
Mailing Fax Number 2939317385
Enumeration Date 2015-09-22
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Augusto E Tirado MD Doing Business As Name - Organization

Other Provider IDs and Locations

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
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

Office Location

Street Address 3361 SOUTH MIAMI AVENUE
SUITE 306
City MIAMI
State FL
Zip Code 33133-4232

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942831367 Thelma Oliver Pyton Case Manager/Care Coordinator 2780 Sw 37th Avenue, Suite 206, Miami, FL 33133 2020-02-04
1164069456 Jorge Alberto Lopez II Counselor 2780 Ssw 37th Ave, Coconut Grove, FL 33133 2019-12-05
1588209381 Toni T Rice Counselor 2780 S.w. 37th Ave, Suite #206, Miami, FL 33133 2019-11-15
1720629876 Julian De Jesus Mazuera Pelaez Specialist/Technologist, Other 2615 Sw 22nd Av, Apt 10, Miami, FL 33133 2019-09-30
1558831131 Jessica Dehombre Speech-Language Pathologist 2780 Sw Douglas Road Suite 203, Miami, FL 33133 2018-11-27
1043723620 Alayn Fleites Gonzalez Behavioral Analyst 2950 S. Dixie Hwy, Miami, FL 33133 2017-11-06
1942711759 Ella Raphaelle Dufrene Psychologist 3244 West Trade Ave. #1, Miami, FL 33133 2017-10-19
1639696305 Nanci Hellinger Dietitian, Registered 3659 S. Miami Ave., Suite 3003, Miami, FL 33133 2017-08-24
1619497922 Yanet Bonet Mill I Behavioral Analyst 2740 Sw 31 Ave, Miami, FL 33133 2017-06-27
1619497534 Pathwaves Incorporated Counselor 2503 Southwest 27 Avenue, Miami, FL 33133 2017-06-21
Find all providers in zip 33133

Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790152908 Bruno Nahar Aragao De Oliveira Urology 1120 Nw 14th St Ste 1564b, Miami, FL 33136-2107 2015-08-24
1912382417 Vivek Venkatramani Urology 1250 S Miami Ave Apt 1311, Miami, FL 33130-4107 2015-07-25
1093127631 Jose Luis Vilaro Valderrabano Urology 3641 S Miami Ave Ste 170, Miami, FL 33133-4219 2014-06-02
1164846986 Derek Prabharasuth Urology 11760 Sw 40th St Ste 403, Miami, FL 33175-3595 2014-02-13
1780023135 Sanjaya Kumar Swain Urology 1150 Pac Clinic University of Miami Hospital, Room No 309, Miami, FL 33136 2013-06-19
1467716183 Emad Ibrahim Urology 1095 Nw 14th Ter # R48, Rm 1-10, Miami, FL 33136-1060 2012-06-27
1215295639 Ricardo Ismael Palmerola Urology 4220 Sw 60th Ct, Miami, FL 33155-5224 2012-04-24
1437425246 Katherine A. Amin Urology Professional Arts Center, 1150 Nw 14th St, Suite 309, Miami, FL 33136 2012-03-26
1073803490 Nicholas Joseph Hauser Urology 1150 Nw 14th St Ste 309, Miami, FL 33136 2011-04-19
1720239510 Melvin A. Mackler, M.d. Pa Urology 8669 N.w 36 Street, Suite 325, Miami, FL 33166 2008-10-10
Find all providers in MIAMI

Competitor

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City MIAMI
Zip Code 33133

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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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