Organization
GENESISCARE USA OF FLORIDA LLC
Active
Parent organization
GENESIS CARE USA INC
Other names
Marc A Melser MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS CARE USA INC
Authorized official
SHADEN MARZOUK (PRESIDENT)
(239) 931-7254
Entity
Organization
Contact information
Practice address
3410 TAMIAMI TRL, SUITE 4, PORT CHARLOTTE, FL 33952-8112
(941) 235-7281
(941) 235-0463
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
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE7138
RAILROAD MEDICARE
FL
Enumeration date
11/18/2008
Last updated
10/05/2023
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