Organization
GENESISCARE USA OF FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHADEN MARZOUK (PRESIDENT)
(239) 931-7254
Entity
Organization
Contact information
Practice address
20601 E DIXIE HWY STE 330, AVENTURA, FL 33180-1542
(305) 932-4198
(305) 952-4866
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
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
02/03/2025
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