Genestem

Primary specialty

Genetics Clinic/CenterTaxonomy code 261QG0250X

License

ME102199 Issued in ZZ

Legal business name

GENESTEM

Practice address

4101 NW 4TH St
Suite 211
Plantation, FL 33317-2850

Phone

(561) 537-2603

NPI assigned

Apr 4, 2013

Last updated

Apr 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Deluca, M.D.

Title

Cmo

Phone

(561) 537-2603

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1235472671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 JEFFERY ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334874183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 NW 4TH ST",
            "address_2": "SUITE 211",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172850",
            "telephone_number": "561-537-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "DELUCA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "561-537-2603",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QG0250X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Genetics",
            "state": "ZZ",
            "license": "ME102199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genecco Rehab, Inc
• Catherine Gener
• Genesis Family Services
• Genesiscare USA of Florida LLC (Uro-Surg Associates)
• Genesiscare USA of Florida LLC (Ead Urology)
• Quiana Shandrisse Gentle Carmona, PSYD
• Gentle Touch Alf
• Gentle Touch Mobile Phlebotomy Services, Inc
• Genx Medical Spa
• Sachin George Mathew, MD

• Clinic/Center in Plantation, FL
• Providers in Plantation, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.