# GENESISCARE USA OF FLORIDA LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GENESISCARE USA INC
- **Other names:** Associates in General & Vascular Surgery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013055060
- **Legal business name:** GENESISCARE USA INC
- **Authorized official:** IAN WONG (CFO)
- **Authorized official phone:** (303) 249-7486

## Contact information

- **Practice address:** 21 BARKLEY CIR, FORT MYERS, FL 33907-7531
- **Practice address phone:** (239) 939-2616
- **Practice address fax:** (239) 939-9093
- **Mailing address:** 1419 SE 8TH TER STE 200, CAPE CORAL, FL 33990-3213
- **Mailing address phone:** (239) 931-7342
- **Mailing address fax:** (239) 931-7385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 11/03/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CE7138 | RAILROAD MEDICARE | FL |