Organization
GENESISCARE USA OF FLORIDA, LLC
Active
Parent organization
GENESISCARE USA INC
Other names
Florida Breast Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESISCARE USA INC
Authorized official
SHADEN MARZOUK (PRESIDENT)
(239) 931-7254
Entity
Organization
Contact information
Practice address
10141 FOREST HILL BLVD, WELLINGTON, FL 33414-6103
(561) 753-2676
(561) 753-2675
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
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/16/2015
Last updated
10/05/2023
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