Organization
GENESISCARE USA OF FLORIDA LLC
Active
Parent organization
GENESISCARE USA INC.
Other names
Ear, Nose and Throat Specialists of Florida
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESISCARE USA INC.
Authorized official
IAN WONG (CFO)
(303) 249-7486
Entity
Organization
Contact information
Practice address
39 BARKLEY CIR, FORT MYERS, FL 33907-7531
(239) 936-1616
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
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004302344
—
FL
05
—
004302345
—
FL
05
—
004302346
—
FL
01
—
CE7138
RAILROAD MEDICARE
FL
Enumeration date
09/24/2013
Last updated
11/03/2025
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