Provider Type Icon

GENESISCARE USA OF FLORIDA LLC NPI 1417220054


NPI Information

NPI: 1417220054
Provider Name: GENESISCARE USA OF FLORIDA LLC

Doing Business As: VANGUARD UROLOGY

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 10D1101505

Address:
2261 N UNIVERSITY DR
SUITE 202
PEMBROKE PINES, FL
ZIP 33024
Phone: (954) 965-9870
Get Directions

GENESISCARE USA OF FLORIDA LLC is an urology in Pembroke Pines, FL. The provider is 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. GENESISCARE USA OF FLORIDA LLC NPI is 1417220054. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Vanguard Urology.

The provider's business location address is:

2261 N UNIVERSITY DR
SUITE 202
PEMBROKE PINES, FL
ZIP 33024-623
Phone: (954) 965-9870
Fax: (954) 965-9870

The provider's authorized official is Dan Collins .
The authorized official title is President and has the following contact phone number (239) 931-7275.

The CLIA number assigned to this NPI record is 10D1101505 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2012 and was last updated on 8/24/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.