GENESISCARE USA OF FLORIDA LLC (NPI# 1871735480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871735480 |
| Entity Type | Organization |
| Organization Name | GENESISCARE USA OF FLORIDA LLC |
| Other Organization Name | BROWARD UROLOGY CENTER |
| Practice Address |
2150 S Andrews Ave Ste 100 Fort Lauderdale FL 33316-3432 |
| Mailing Address |
2160 Colonial Blvd Fort Myers FL 33907-1410 |
| Practice Telephone | 9544636408 |
| Practice Fax Number | 9544631858 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2009-03-27 |
| 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 |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | CE7138 | 01 |
| Other Name | Type Code |
|---|---|
| Broward Urology Center | 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 |
| 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 |
2150 S ANDREWS AVE STE 100 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-3432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720406440 | Boston Medical Group, Inc. | Urology | 4901 N.w. 17th Way, Suite 202, Fort Lauderdale, FL 33309 | 2014-03-31 |
| 1245560457 | Ernest Costantino Jr. | Urology | 768 Middle River Dr, Fort Lauderdale, FL 33304-3512 | 2010-01-11 |
| 1194870030 | Terrell P Winkler Md Pa | Urology | 4001 North Ocean Drive, Suite 203, Fort Lauderdale, FL 33308-5968 | 2007-01-23 |
| 1225338403 | Ronald C Sirois Md Pa | Urology | 4701 N Federal Hwy, Suite C 10, Fort Lauderdale, FL 33308-4608 | 2010-10-22 |
| 1811204415 | 21st Century Oncology LLC | Urology | 4800 Ne 20th Ter, Suite 404, Fort Lauderdale, FL 33308-4510 | 2010-09-03 |
| 1831414143 | Vladislav Gorbatiy | Urology | 1200 E Broward Blvd, Fort Lauderdale, FL 33301-2134 | 2010-03-30 |
| 1306970082 | Fauer Yogel & Chenven Md Pa | Urology | 1200 E Broward Blvd, Fort Lauderdale, FL 33301-2134 | 2007-03-15 |
| 1265587232 | Terrell Paul Winkler | Urology | 4001 North Ocean Drive, Suite 203, Fort Lauderdale, FL 33308-5968 | 2007-01-23 |
| 1326072562 | Ronald C Sirois | Urology | 4701 N Federal Hwy, Ste C10, Fort Lauderdale, FL 33308 | 2006-07-11 |
| 1962493619 | Eric Scott Chenven | Urology | 1200 E Broward Blvd, Fort Lauderdale, FL 33301-2134 | 2005-11-02 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
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.