Organization · Type 2 NPI

Genesiscare USA of Florida LLC

Urology Physician · Port Charlotte, FL

NPI number 1255741880 Active

Practice location

21260 Olean Blvd, Suite 202A
Port Charlotte, FL 33952-6742

Call (941) 625-1550 Map

Fax (941) 255-0794

Mailing address

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

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.

4 other providers at this address

Other urology physician providers in Port Charlotte

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NPI record

NPI: 1255741880
Entity type: Organization (Type 2)
Issued: May 5, 2014
Last updated: Oct 5, 2023
Status: Active
Subpart: Yes of Genesiscare USA Inc

Other names

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Gulf Coast Urology · doing business as
Gulf Coast Urology · doing business as

Authorized official

Shaden Marzouk
President
(239) 931-7254

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.

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About NPI 1255741880

Genesiscare USA of Florida LLC's National Provider Identifier is 1255741880, issued on May 5, 2014. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Port Charlotte, FL. The record was last updated on Oct 5, 2023.