GENESIS BRAIN INSTITUTE LLC
NPI 1104547322
Clinic/Center - Multi-Specialty in Tampa, FL

Q: What is Genesis Brain Institute LLC's NPI number?

The NPI number for Genesis Brain Institute LLC is 1104547322. It was assigned to this organization in the NPPES registry on September 6, 2022.

Q: What is Genesis Brain Institute LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since September 06, 2022

3030 N ROCKY POINT DR W STE 665, TAMPA, FL 33607(727) 784-8600 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Genesis Brain Institute Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS BRAIN INSTITUTE LLC (NPI 1104547322) is a healthcare organization registered as a multi-specialty in Tampa, Florida and active in the NPI registry since September 2022. The organization lists Renee D Kelly, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104547322

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameGENESIS BRAIN INSTITUTE LLC

Location Address3030 N ROCKY POINT DR W STE 665Tampa, FL 33607-5906

Mailing Address3030 N Rocky Point Dr W Ste 665Tampa, FL 33607-5906 · (727) 784-8600

Phone(727) 784-8600

Organization SubpartNo

Authorized OfficialRenee D KellyAdministrator · (727) 784-8600

Enumeration DateSeptember 6, 2022

NPPES CertifiedSeptember 6, 2022

✔ NPI 1104547322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

3030 N ROCKY POINT DR W STE 665, Tampa, FL 33607

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAUL VINCENT CALLAHAN ED.D

Counselor (Pastoral)

3030 N ROCKY POINT DR W STE 665
TAMPA, FL 33607

Hillsborough County (813) 286-2959

DARYL JOSEPH MOORE PA-C

Physician Assistant

3030 N ROCKY POINT DR W STE 665
TAMPA, FL 33607

Hillsborough County (727) 784-8600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesis Brain Institute LLC's NPI number?

The NPI number for Genesis Brain Institute LLC is 1104547322. It was assigned to this organization in the NPPES registry on September 6, 2022.

Where is Genesis Brain Institute LLC located?

Genesis Brain Institute LLC is located at 3030 N Rocky Point Dr W Ste 665, Tampa, FL 33607. The listed phone number is (727) 784-8600.

What is Genesis Brain Institute LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Genesis Brain Institute LLC was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.