Genesiscare USA of Florida LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

GENESISCARE USA OF FLORIDA LLC

Practice address

601 E Sample Rd
Suite 106
Pompano Beach, FL 33064-4443

Phone

(954) 785-0525

Fax

(954) 943-1455

NPI assigned

Oct 20, 2010

Organization subpart

Yes

Parent organization

GENESISCARE USA INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dan Collins

Title

President

Phone

(239) 931-7275

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Reda F Sorial MD Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71588

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eduardo Fernandez, MD

  • Radiation Oncology Physician
  • Plantation, FL
  • NPI 1558367722
  NPD
• Matthew Steven Lief, MD

  • Urology Physician
  • Coral Springs, FL
  • NPI 1902872096
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1023328358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071410",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E SAMPLE RD",
            "address_2": "SUITE 106",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644443",
            "telephone_number": "954-785-0525",
            "fax_number": "954-943-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESISCARE USA OF FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESISCARE USA INC.",
        "enumeration_date": "2010-10-20",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-931-7275"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CE7138",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reda F Sorial MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reda F Sorial MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Geerer
• Lisa Rose Gehrke, HS
• Gelbard Neurosurgery, Inc
• Gemma Meds, Inc
• Generic Pharmacy Inc
• Leroy Norman Genke, RPH
• Margaret Anne Gentile, MA
• Ella Mae George
• Philip George, MD
• Bess Georges

• Urology Physician in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.