Organization
GENESISCARE USA OF FLORIDA LLC
Active
Parent organization
GENESISCARE USA INC.
Other names
Blackwell Breast Surgery
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
7451 GLADIOLUS DR, FORT MYERS, FL 33908-5193
(239) 931-7212
(239) 931-7385
Mailing address
2270 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/14/2018
Last updated
09/30/2021
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