Provider Profile
GENESIS BRAIN INSTITUTE LLC
Health Care Clinic
FACILITY PROFILE
Street Address
- 3030 N ROCKY POINT DR W STE 660
TAMPA, FL 33607
County: Hillsborough - Phone: (813) 282-7246
Mailing Address
- 3030 N ROCKY POINT DR W STE 665
TAMPA, FL 33607
County: Hillsborough - Phone: (813) 282-7246
AHCA Reports
Inspection ReportsInspection Details
Facility Information:
| Facility/Provider Type: | Health Care Clinic | |||||||||
| Medical or Clinic Director: | NORMAN NEIL BROWN | |||||||||
| Administrator: | RENEE KELLY | |||||||||
| Owner/Licensee: | GENESIS BRAIN INSTITUTE LLC | |||||||||
| Owner/Licensee Since: | 3/20/2023 | |||||||||
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| Profit Status: | For-Profit | |||||||||
| Licensed Beds: | Not Available | |||||||||
| AHCA Number (File Number): | 15459 | |||||||||
| AHCA Field Office: | 06 | |||||||||
| License Number: | 13910 | |||||||||
| Current License Effective: | 6/20/2023 | |||||||||
| Current License Expires: | 6/19/2025 | |||||||||
| License Status: | LICENSED | |||||||||
Services/Characteristics
| Specialty: | PIP Recipient |
| Type: | Fixed Location |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.