Provider Type Icon

GENESISCARE USA OF FLORIDA LLC NPI 1184095234


NPI Information

NPI: 1184095234
Provider Name: GENESISCARE USA OF FLORIDA LLC

Doing Business As: UROLOGIC SPECIALISTS

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 10D2032633

Address:
5065 S STATE ROAD 7 STE 203
LAKE WORTH, FL
ZIP 33449
Phone: (561) 432-0067
Get Directions

GENESISCARE USA OF FLORIDA LLC is an urology in Lake Worth, 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 1184095234. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Urologic Specialists.

The provider's business location address is:

5065 S STATE ROAD 7 STE 203
LAKE WORTH, FL
ZIP 33449-439
Phone: (561) 432-0067
Fax: (561) 432-0066

The provider's authorized official is Shaden Marzouk .
The authorized official title is President and has the following contact phone number (239) 931-7254.

The CLIA number assigned to this NPI record is 10D2032633 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/15/2015 and was last updated on 10/5/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 5/5/2024

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.