Organization · Type 2 NPI

Genesiscare USA of Florida LLC

Hematology & Oncology Physician · Jacksonville, FL

NPI number 1710360508 Active

Practice location

425 N Lee St Ste 104
Jacksonville, FL 32204-1128

Call (904) 805-7050 Map

Fax (904) 805-7047

Mailing address

2270 Colonial Blvd
Fort Myers, FL 33907-1412

Specialties and licenses

Taxonomy	Code	License
Hematology (Internal Medicine) Physician	207RH0000X	None listed
Hematology & Oncology Physician Primary	207RH0003X	None listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

2 other providers at this address

Other hematology & oncology physician providers in Jacksonville

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NPI record

NPI: 1710360508
Entity type: Organization (Type 2)
Issued: Jun 30, 2015
Last updated: Nov 3, 2025
Status: Active
Subpart: Yes of Genesiscare USA Inc

Other names

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Regional Consultants In Hematology and Oncology · doing business as
Regional Consultants In Hematology and Oncology · 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 1710360508

Genesiscare USA of Florida LLC's National Provider Identifier is 1710360508, issued on Jun 30, 2015. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 3, 2025.