GENESISCARE USA OF FLORIDA LLC is an urology in Port Charlotte, 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 1255741880. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gulf Coast Urology.
The provider's business location address is:
21260 OLEAN BLVD
SUITE 202A
PORT CHARLOTTE, FL
ZIP 33952-742
Phone: (941) 625-1550
Fax: (941) 255-0794
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 10D2189842 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 5/5/2014 and was last updated on 10/5/2023.