GENESISCARE USA OF FLORIDA LLC is an urology in Fort Walton Beach, 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 1427339399. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Basil D Fossum Md.
The provider's business location address is:
914 MAR WALT DR
SUITE B
FORT WALTON BEACH, FL
ZIP 32547-706
Phone: (850) 226-6572
Fax: (850) 862-8564
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 enumeration date for this NPI number is 9/6/2011 and was last updated on 8/24/2020.