Italo Genesi

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11032008 Issued in FL

Practice address

7761 NW 107TH Ave Ofc 210
Doral, FL 33178-4059

Phone

(786) 354-1183

NPI assigned

Mar 26, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1104676451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7761 NW 107TH AVE OFC 210",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7761 NW 107TH AVE OFC 210",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784059",
            "telephone_number": "786-354-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENESI",
        "first_name": "ITALO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11032008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Gelman-Bercovich, DMD
• Gemini Medical Group Corp
• Gen Professional Group, Inc.
• General Healthcare of Palm Beach Inc
• Generations Plus LLC
• Genesis Case Management Services, Corp
• Genesis Medical Center
• Genesis Medical Supplies Inc.
• Jasmine George
• Shurland George, RPH

• Family Nurse Practitioner in Doral, FL
• Providers in Doral, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.