Organization
GENESISCARE USA OF FLORIDA LLC
Active
Parent organization
GENESISCARE USA INC
Other names
The Surgical Group of Naples
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
2335 TAMIAMI TRL N, SUITE 501, NAPLES, FL 34103-4456
(239) 263-0011
(239) 430-7823
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
—
—
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE7138
RAILROAD MEDICARE
FL
Enumeration date
09/20/2010
Last updated
10/05/2023
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