Organization · Type 2 NPI

Genesiscare USA of Florida LLC

Surgery Physician · Port Charlotte, FL

NPI number 1467889667 Active

Practice location

18308 Murdock Cir, Suite 105
Port Charlotte, FL 33948-1025

Call (941) 743-4150 Map

Fax (941) 743-4427

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Surgery Physician Primary	208600000X	None listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

7 other providers at this address

Other surgery physician providers in Port Charlotte

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NPI record

NPI: 1467889667
Entity type: Organization (Type 2)
Issued: Oct 2, 2013
Last updated: Sep 28, 2023
Status: Active
Subpart: Yes of Genesiscare USA Inc.

Other names

<unavail>
Matthew R Bagan Do · doing business as
Matthew R Bagan Do · doing business as

Authorized official

Shaden Marzouk
President
(239) 931-7254

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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 1467889667

Genesiscare USA of Florida LLC's National Provider Identifier is 1467889667, issued on Oct 2, 2013. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Port Charlotte, FL. The record was last updated on Sep 28, 2023.