Organization · Type 2 NPI

Genesiscare USA of Florida LLC

Urology Physician · Miramar, FL

NPI number 1841580917 Active

Practice location

1951 SW 172nd Ave Ste 300
Miramar, FL 33029-5614

Call (954) 499-7696 Map

Fax (954) 499-7699

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.

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NPI record

NPI: 1841580917
Entity type: Organization (Type 2)
Issued: Apr 11, 2011
Last updated: Nov 3, 2025
Status: Active
Subpart: Yes of Genesiscare USA Inc

Other names

<unavail>
Broward Urology · doing business as
Broward Urology · 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 1841580917

Genesiscare USA of Florida LLC's National Provider Identifier is 1841580917, issued on Apr 11, 2011. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Miramar, FL. The record was last updated on Nov 3, 2025.