Organization
GENESISCARE USA OF FLORIDA LLC
Active
Parent organization
GENESISCARE USA INC
Other names
Emerald Coast Urology
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
909 MAR WALT DR, SUITE 1011, FORT WALTON BEACH, FL 32547-6635
(850) 683-3377
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
Enumeration date
12/16/2008
Last updated
08/24/2020
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