Organization
GENESISCARE USA OF FLORIDA LLC
Active
Parent organization
GENESISCARE INC
Other names
Naples Urology Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESISCARE INC
Authorized official
SHADEN MARZOUK (PRESIDENT)
(239) 931-7254
Entity
Organization
Contact information
Practice address
681 GOODLETTE RD STE 210, NAPLES, FL 34102-5612
(239) 434-8565
(239) 434-8569
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
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE7138
RAILROAD MEDICARE
FL
Enumeration date
01/14/2010
Last updated
10/05/2023
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