Geneva Manilova

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

102436 Issued in FL

Practice address

110 SE 6TH St Ste 1723
Fort Lauderdale, FL 33301-5000

Phone

(786) 417-5540

NPI assigned

Sep 28, 2023

Sex

Female

Sole proprietor

No

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": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1245010180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "813-575-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SE 6TH ST STE 1723",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333015000",
            "telephone_number": "786-417-5540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 E Hallandale Beach Blvd Ste 405",
            "address_purpose": "LOCATION",
            "city": "Hallandale Beach",
            "state": "FL",
            "postal_code": "330093772",
            "country_code": "US",
            "telephone_number": "786-540-4055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANILOVA",
        "first_name": "GENEVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "102436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen James Mangan, DMD
• Monique Lenore Manganelli, MD
• Benson Scott Mangleburg, RPH
• Nisha S Mani, MD
• Adina Manica
• Maria Maniscalco, PHARM.D.
• Deepika Kaur Mann, DMD
• Heath Mann, PT, DPT
• Jennifer Mann, MS, RD, CSR
• Robert John Mann, DC

• Massage Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.