OrganizationActive
Genesis Brain Institute LLC
NPI 1104547322 · Multi-Specialty Clinic/Center · Tampa, FL
Provider details
- NPI number
- 1104547322
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Renee Kelly, Administrator(727) 784-8600
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3030 N Rocky Point Dr W Ste 665
Tampa, FL 33607-5906
Phone: (727) 784-8600
Street-level locationGet directions
Mailing address
3030 N Rocky Point Dr W Ste 665
Tampa, FL 33607-5906
Registry dates
- Enumerated
- 2022-09-06
- Last updated
- 2022-09-06
- Certified
- 2022-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.