Organization
GENESISCARE USA OF FLORIDA LLC
Active
Parent organization
GENESISCARE USA INC.
Other names
Broward Urology Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESISCARE USA INC.
Authorized official
IAN WONG (CFO)
(303) 249-7486
Entity
Organization
Contact information
Practice address
2150 S ANDREWS AVE STE 100, FORT LAUDERDALE, FL 33316-3432
(954) 463-6408
(954) 463-1858
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
03/27/2009
Last updated
11/03/2025
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