Organization
WEST VIRGINIA RADIATION THERAPY SERVICES INC
Active
Parent organization
GENESISCARE USA OF FLORIDA INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESISCARE USA OF FLORIDA INC
Authorized official
SHADEN MARZOUK (PRESIDENT)
(239) 931-7254
Entity
Organization
Contact information
Practice address
187 SKYLAR DR, LEWISBURG, WV 24901-9359
(304) 647-3500
(304) 647-4446
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
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
10/21/2008
Last updated
09/25/2023
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