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Organization
GENESISCARE USA OF FLORIDA, LLC
Active
Organization
GENESISCARE USA OF FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHADEN MARZOUK (PRESIDENT)
(239) 931-7254
Entity
Organization
Contact information
Practice address
78 SW 13TH AVE STE 200, MIAMI, FL 33135-2483
(305) 642-6966
(305) 642-6965
Mailing address
1419 SE 8TH TER STE 200, CAPE CORAL, FL 33990-3213
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
Other
Enumeration date
10/04/2023
Last updated
08/17/2026
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