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Organization

GENESISCARE USA OF FLORIDA LLC

Active
Parent organization
GENESISCARE USA INC
Other names
Graduate Surgical
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
1201 N OLIVE AVE, WEST PALM BEACH, FL 33401-3515
(561) 655-4334
(561) 655-9449
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 391-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
09/22/2015
Last updated
08/25/2020
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