GENESISCARE USA OF FLORIDA LLC (NPI# 1306215868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306215868 |
| Entity Type | Organization |
| Organization Name | GENESISCARE USA OF FLORIDA LLC |
| Other Organization Name | PALM BEACH UROLOGY ASSOCIATES |
| Practice Address |
3347 State Road 7 Suite 101 Wellington FL 33449-8148 |
| Mailing Address |
2160 Colonial Blvd Fort Myers FL 33907-1410 |
| Practice Telephone | 5617902111 |
| Practice Fax Number | 5612960436 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2020-08-24 |
| 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 |
| Other Name | Type Code |
|---|---|
| Palm Beach Urology Associates | 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 |
3347 STATE ROAD 7 SUITE 101 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33449-8148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013917541 | Chandra Venugopal | Internal Medicine | 3347 State Road 7, Suite 203, Wellington, FL 33449-8095 | 2005-07-27 |
| 1457893869 | Holistic Health Palm Beach | Preferred Provider Organization | 3347 State Road 7, Suite 200, Wellington, FL 33449-8095 | 2016-11-16 |
| 1306296827 | Medcare Transitional Services LLC | Internal Medicine | 3347 State Road 7, Suite 200, Wellington, FL 33449-8095 | 2016-06-15 |
| 1164809257 | Wiledade Augustin | Nurse Practitioner | 3347 State Road 7, Suite 200, Wellington, FL 33449-8095 | 2015-04-28 |
| 1881083368 | Shariffa Gunawardene | Nurse Practitioner | 3347 State Road 7, Suite 206, Wellington, FL 33449-8148 | 2015-01-21 |
| 1750723045 | Internal Medicine of Palm Beach LLC | Internal Medicine | 3347 State Road 7, Suite 206, Wellington, FL 33449-8095 | 2013-07-27 |
| 1225379787 | Acute Medical Care Hospitalist LLC | Internal Medicine | 3347 State Road 7, Suite 206, Wellington, FL 33449-8095 | 2013-03-08 |
| 1740551183 | Haydee Victoria Rodriguez | Registered Nurse | 3347 State Road 7, Suite 101, Wellington, FL 33449-8095 | 2012-01-17 |
| 1083984744 | Sfm Urology II | Urology | 3347 State Road 7, Suite 101, Wellington, FL 33449-8095 | 2012-01-11 |
| 1780953786 | Angelique Lam | Hospitalist | 3347 State Road 7, Suite-206, Wellington, FL 33449-8095 | 2011-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324398 | Rachel Hoffmann | Speech-Language Pathologist | 3377 S State Rd 7, Wellington, FL 33449 | 2020-04-06 |
| 1124668371 | Meaghan Margaret Birakis | Dermatology | 3319 Fl-7 #202, Wellington, FL 33449 | 2020-01-15 |
| 1750858148 | Lean On Me Companion LLC | Homemaker | 10048 Southern Pride Place, Lake Worth, FL 33449 | 2018-10-24 |
| 1851833958 | Caroline Pena | Acupuncturist | 3347 S State Road 7 Ste 200, Wellington, FL 33449 | 2016-11-07 |
| 1467823294 | Sophia Dionne Lyn Chinque | Nurse Practitioner | 10358 Olde Clydesdale Circle, Lake Worth, FL 33449 | 2015-10-20 |
| 1285987057 | Jose L. Martinez Md Pa | Internal Medicine | 11653 South Breeze Pl, Wellington, FL 33449 | 2012-10-18 |
| 1396017224 | Joseph Harold Cohen | Internal Medicine | 4431jamesestatelane, Wellington, FL 33449 | 2012-02-08 |
| 1215223870 | Apollo Medical Management | Non-Pharmacy Dispensing Site | 3347 State Rd 7, Suite 203, Wellington, FL 33449 | 2011-06-22 |
| 1568757987 | Rishi Jay Panchal | Internal Medicine | 3347 S State Road 7 Ste 203, Wellington, FL 33449 | 2011-06-14 |
| 1194987222 | Advanced Surgery Center of Palm Beach County, LLC | Clinic/Center | 5065 South State Rd 7, Suite 100, Lake Worth, FL 33449 | 2008-06-30 |
| Find all providers in zip 33449 | ||||
| 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 |
|---|---|---|---|---|
| 1376545665 | Jerry Herbert Singer | Urology | 10115 Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2005-06-01 |
| 1871964916 | 21st Century Oncology LLC | Urology | 10115 Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2015-10-15 |
| 1083984744 | Sfm Urology II | Urology | 3347 State Road 7, Suite 101, Wellington, FL 33449-8095 | 2012-01-11 |
| 1285913848 | All Women Urology Pa | Urology | 10115 Forest Hill Blvd Ste 101, Wellington, FL 33414-6178 | 2011-08-12 |
| 1861624801 | South Florida Medicine LLC | Urology | 3343 State Road 7, Wellington, FL 33449 | 2009-08-10 |
| 1154593689 | Sean Lall Sawh | Urology | 3347 State Road 7, Suite 101, Wellington, FL 33449-8095 | 2008-03-25 |
| 1588875678 | Fred Muhletaler | Urology | 3347 State Road 7, Suite 101, Wellington, FL 33449-8095 | 2007-05-24 |
| 1558379313 | Hugo Hernandez | Urology | 10111 W Forest Hill Blvd, #200, Wellington, FL 33414-6108 | 2006-08-04 |
| 1629096540 | Georgis Patsias Md Pa | Urology | 1397 Medical Park Blvd, Suite 260, Wellington, FL 33414-6108 | 2006-07-18 |
| 1912957903 | Steven Joseph Varady | Urology | 3347 State Road 7, Suite 101, Wellington, FL 33449-8095 | 2006-05-11 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 33449 |
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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.