Organization · Type 2 NPI

Genesiscare USA of Florida LLC

Otolaryngology Physician · Fort Myers, FL

NPI number 1154757904 Active

Practice location

39 Barkley Cir
Fort Myers, FL 33907-7531

Call (239) 936-1616 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Otolaryngology Physician Primary	207Y00000X	None listed

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

14 other providers at this address

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NPI record

NPI: 1154757904
Entity type: Organization (Type 2)
Issued: Sep 24, 2013
Last updated: Nov 3, 2025
Status: Active
Subpart: Yes of Genesiscare USA Inc.

Other names

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Ear, Nose and Throat Specialists of Florida · doing business as
Ear, Nose and Throat Specialists of Florida · 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 1154757904

Genesiscare USA of Florida LLC's National Provider Identifier is 1154757904, issued on Sep 24, 2013. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Fort Myers, FL. The record was last updated on Nov 3, 2025.