Organization
GENESISCARE USA OF ALABAMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHADEN MARZOUK (PRESIDENT)
(239) 931-7254
Entity
Organization
Contact information
Practice address
4274 W MAIN ST, DOTHAN, AL 36305-1062
(334) 793-2312
(334) 671-0484
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
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
09/15/2007
Last updated
09/25/2023
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