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GENESISCARE USA OF FLORIDA LLC NPI 1972796787


NPI Information

NPI: 1972796787
Provider Name: GENESISCARE USA OF FLORIDA LLC

Doing Business As: COMPREHENSIVE BREAST CENTER

Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 10D1091197

Address:
9960 CENTRAL PARK BLVD N STE 100
BOCA RATON, FL
ZIP 33428
Phone: (954) 345-2718
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GENESISCARE USA OF FLORIDA LLC is a surgery in Boca Raton, FL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. GENESISCARE USA OF FLORIDA LLC NPI is 1972796787. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Comprehensive Breast Center.

The provider's business location address is:

9960 CENTRAL PARK BLVD N STE 100
BOCA RATON, FL
ZIP 33428-702
Phone: (954) 345-2718
Fax: (954) 753-2683

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 10D1091197 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2007 and was last updated on 6/22/2023.


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
1208600000XSurgeryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CE7138OTHERFLORIDARAILROAD 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: 5/5/2024

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