Organization
GENESISCARE USA OF FLORIDA LLC
Active
Other names
GenesisCare Urology
Organization subpart
No
Provider details
NPI number
Authorized official
SHADEN MARZOUK (PRESIDENT)
(239) 931-7254
Entity
Organization
Contact information
Practice address
4571 COLONIAL BLVD STE 110, FORT MYERS, FL 33966-1156
(239) 931-7342
(239) 931-7385
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
Enumeration date
08/18/2021
Last updated
09/25/2023
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