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GENESISCARE USA OF FLORIDA LLC NPI 1134109747


NPI Information

NPI: 1134109747
Provider Name: GENESISCARE USA OF FLORIDA LLC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

CLIA Number: 10D0293855

Address:
7341 GLADIOLUS DR
FORT MYERS, FL
ZIP 33908
Phone: (239) 489-3420
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GENESISCARE USA OF FLORIDA LLC is a radiation oncology radiology in Fort Myers, FL. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. GENESISCARE USA OF FLORIDA LLC NPI is 1134109747. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7341 GLADIOLUS DR
FORT MYERS, FL
ZIP 33908-122
Phone: (239) 489-3420
Fax: (239) 489-3219

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 10D0293855 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyNo
2208600000XSurgeryNo
32086X0206XSurgerySurgical OncologyNo
4208800000XUrologyNo
52085R0001XRadiologyRadiation 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
1060239619MEDICAIDFLORIDA
2060239606MEDICAIDFLORIDA
3060239612MEDICAIDFLORIDA
4060239617MEDICAIDFLORIDA
5060239604MEDICAIDFLORIDA
6060239605MEDICAIDFLORIDA
7060239616MEDICAIDFLORIDA
8060239621MEDICAIDFLORIDA
9CE7138OTHERFLORIDARAILROAD MEDICARE
10CE9586OTHERFLORIDARAILROAD MEDICARE
11060239600MEDICAIDFLORIDA
12060239615MEDICAIDFLORIDA
13060239601MEDICAIDFLORIDA
14060239607MEDICAIDFLORIDA
15060239602MEDICAIDFLORIDA
16060239608MEDICAIDFLORIDA
17060239609MEDICAIDFLORIDA
18060239611MEDICAIDFLORIDA

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

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.