Organization
GENESISCARE USA OF FLORIDA LLC
Active
Parent organization
GENESISCARE USA INC.
Other names
Reda F Sorial MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESISCARE USA INC.
Authorized official
DAN COLLINS (PRESIDENT)
(239) 931-7275
Entity
Organization
Contact information
Practice address
601 E SAMPLE RD, SUITE 106, POMPANO BEACH, FL 33064-4443
(954) 785-0525
(954) 943-1455
Mailing address
2160 COLONIAL BLVD, FORT MYERS, FL 33907-1410
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE7138
RAILROAD MEDICARE
FL
Enumeration date
10/20/2010
Last updated
08/24/2020
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