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GENESISCARE USA OF FLORIDA LLC NPI 1316981194


NPI Information

NPI: 1316981194
Provider Name: GENESISCARE USA OF FLORIDA LLC

Doing Business As: FLORIDA GYNECOLOGIC ONCOLOGY

Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Organization

Specialization: Gynecologic Oncology

Address:
8931 COLONIAL CENTER DR STE 400
FORT MYERS, FL
ZIP 33905
Phone: (239) 334-6626
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GENESISCARE USA OF FLORIDA LLC is a gynecologic oncology obstetrics gynecology in Fort Myers, FL. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. GENESISCARE USA OF FLORIDA LLC NPI is 1316981194. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Florida Gynecologic Oncology.

The provider's business location address is:

8931 COLONIAL CENTER DR STE 400
FORT MYERS, FL
ZIP 33905-809
Phone: (239) 334-6626
Fax: (239) 334-0404

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 enumeration date for this NPI number is 6/15/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0201XObstetrics & GynecologyGynecologic OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1060239613MEDICAIDFLORIDA
2060239618MEDICAIDFLORIDA
3CE7138OTHERFLORIDARAILROAD MEDICARE

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: 4/28/2024

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