Organization · Type 2 NPI

Genesiscare USA of Florida LLC

Urology Physician · Fort Walton Beach, FL

NPI number 1174768477 Active

Practice location

909 Mar Walt Dr, Suite 1011
Fort Walton Beach, FL 32547-6635

Call (850) 683-3377 Map

Mailing address

2160 Colonial Blvd
Fort Myers, FL 33907-1410

Specialties and licenses

Taxonomy	Code	License
Urology Physician Primary	208800000X	None listed

Urology Physician: 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.

2 other providers at this address

Other urology physician providers in Fort Walton Beach

See all in Fort Walton Beach →

NPI record

NPI: 1174768477
Entity type: Organization (Type 2)
Issued: Dec 16, 2008
Last updated: Aug 24, 2020
Status: Active
Subpart: Yes of Genesiscare USA Inc

Other names

<unavail>
Emerald Coast Urology · doing business as
Emerald Coast Urology · doing business as

Authorized official

Dan Collins
President
(239) 931-7275

Verify this record

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.

Is this your record? How to update it.

About NPI 1174768477

Genesiscare USA of Florida LLC's National Provider Identifier is 1174768477, issued on Dec 16, 2008. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Aug 24, 2020.