GENESISCARE USA OF FLORIDA LLC NPI 1013055060

NPI Information

NPI: 1013055060
Provider Name: GENESISCARE USA OF FLORIDA LLC

Doing Business As: ASSOCIATES IN GENERAL & VASCULAR SURGERY

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
21 BARKLEY CIR
FORT MYERS, FL
ZIP 33907
Phone: (239) 939-2616
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GENESISCARE USA OF FLORIDA LLC is a vascular surgery surgery in Fort Myers, FL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. GENESISCARE USA OF FLORIDA LLC NPI is 1013055060. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Associates In General & Vascular Surgery.

The provider's business location address is:

21 BARKLEY CIR
FORT MYERS, FL
ZIP 33907-531
Phone: (239) 939-2616
Fax: (239) 939-9093

The provider's authorized official is Dan Collins .
The authorized official title is President and has the following contact phone number (239) 931-7275.

The CLIA number assigned to this NPI record is 10D2154196 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 1/18/2021.

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
1	208600000X	Surgery				No
2	2086S0129X	Surgery	Vascular Surgery			Yes

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
1	CE7138	OTHER	FLORIDA	RAILROAD 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: 11/14/2023

NPI Synchronization or Removal

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