Organization · Type 2 NPI

Genesiscare USA of Florida LLC

Vascular Surgery Physician · Fort Myers, FL

NPI number 1013055060 Active

Practice location

21 Barkley Cir
Fort Myers, FL 33907-7531

Call (239) 939-2616 Map

Fax (239) 939-9093

Mailing address

1419 SE 8th Ter Ste 200
Cape Coral, FL 33990-3213

Specialties and licenses

Taxonomy	Code	License
Surgery Physician	208600000X	None listed
Vascular Surgery Physician Primary	2086S0129X	None listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

2 other providers at this address

Other vascular surgery physician providers in Fort Myers

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NPI record

NPI: 1013055060
Entity type: Organization (Type 2)
Issued: Feb 2, 2007
Last updated: Nov 3, 2025
Status: Active
Subpart: Yes of Genesiscare USA Inc

Other names

<unavail>
Associates In General & Vascular Surgery · doing business as
Associates In General & Vascular Surgery · doing business as

Authorized official

Ian Wong
CFO
(303) 249-7486

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013055060

Genesiscare USA of Florida LLC's National Provider Identifier is 1013055060, issued on Feb 2, 2007. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Fort Myers, FL. The record was last updated on Nov 3, 2025.