Organization · Type 2 NPI

Genesiscare USA of Florida LLC

Surgery Physician · Fort Myers, FL

NPI number 1891036810 Active

Practice location

13691 Metro Pkwy Ste 350, Metro Medical Plaza
Fort Myers, FL 33912-4351

Call (239) 768-5313 Map

Fax (239) 768-9559

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…

Other surgery physician providers in Fort Myers

See all in Fort Myers →

NPI record

NPI: 1891036810
Entity type: Organization (Type 2)
Issued: Mar 15, 2013
Last updated: Sep 28, 2023
Status: Active
Subpart: Yes of Genesiscare USA Inc

Other names

<unavail>
Lawrence R. Black, Do · doing business as
Lawrence R. Black, Do · 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.

Is this your record? How to update it.

About NPI 1891036810

Genesiscare USA of Florida LLC's National Provider Identifier is 1891036810, issued on Mar 15, 2013. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Fort Myers, FL. The record was last updated on Sep 28, 2023.